Key Takeaways
- In 2021, non-Hispanic Black women in the US experienced a maternal mortality rate of 69.9 deaths per 100,000 live births, which is 2.6 times higher than the rate for non-Hispanic White women at 26.6 deaths per 100,000 live births.
- American Indian and Alaska Native adults had a diabetes prevalence of 13.6% in 2019, compared to 7.4% among non-Hispanic White adults, representing a 84% higher rate.
- Hispanic children under age 18 had an obesity rate of 26.2% in 2017-2020, which is 1.5 times higher than the 14.3% rate for non-Hispanic White children.
- In 2019, adults with household income less than $25,000 had obesity prevalence of 41.3%, compared to 29.7% for those with income over $75,000.
- Low-income children (below 100% FPL) had 23% unmet dental care needs in 2019, versus 7% for high-income children.
- Individuals with less than high school education had 2.5 times higher smoking rate at 28% versus 11% for college graduates in 2020.
- Rural residents had 20% higher heart disease death rate at 168 per 100,000 versus 140 in urban areas in 2020.
- Urban children had 15% higher asthma prevalence than rural at 8.5% versus 7.4% in 2019.
- Rural adults over 18 had 38% obesity rate versus 33% urban in 2021.
- Women had a life expectancy of 79.3 years versus 73.5 for men in 2021, a 5.8 year gap.
- Men had 2.1 times higher age-adjusted suicide death rate at 22.8 per 100,000 versus 10.8 for women in 2021.
- Women experienced 1.5 times higher depression prevalence at 10.5% versus 6.2% for men in 2021.
- Disabled adults had 28.6% obesity rate versus 22.4% non-disabled in 2020.
- People with disabilities had 3x higher poverty rate at 25%.
- Disabled individuals had 20% lower life expectancy due to comorbidities.
Systemic injustice creates unequal health burdens based on identity and circumstance.
Gender Disparities
- Women had a life expectancy of 79.3 years versus 73.5 for men in 2021, a 5.8 year gap.
- Men had 2.1 times higher age-adjusted suicide death rate at 22.8 per 100,000 versus 10.8 for women in 2021.
- Women experienced 1.5 times higher depression prevalence at 10.5% versus 6.2% for men in 2021.
- Men had 80% of workplace fatalities, but women had higher non-fatal injury rates in healthcare.
- Postmenopausal women had 25% higher osteoporosis fracture risk without screening.
- Women veterans had 50% higher PTSD rates than civilian women at 20%.
- Men over 65 had prostate screening at 60%, but women cervical at 80%.
- Pregnant women had 90% higher severe COVID outcomes if obese.
- Women had 30% more chronic pain diagnoses, undertreated by 20%.
- Men had 1.8 times higher liver disease mortality from alcohol.
- Women in menopause had 40% higher insomnia rates.
- Transgender women had HIV prevalence 20 times higher than cisgender women at 14%.
- Elderly women had 2x hip fracture rates leading to 20% higher nursing home admissions.
- Women had 15% lower heart attack treatment rates within 30 min.
- Lesbian women had 20% higher obesity rates than heterosexual women.
- Gay and bisexual men had syphilis rates 100 times higher than straight men in 2021.
- Transgender adults had 40% suicide attempt lifetime rate versus 4.6% general population.
- Lesbian women smoked at 25% rate versus 13% heterosexual women.
- Bisexual women had 2x higher intimate partner violence.
- Gay men had 12% HIV prevalence versus 0.2% heterosexual men.
- Transgender youth had 50% depression rates.
- LGBTQ+ adults had 2.5x higher asthma emergency visits.
Gender Disparities Interpretation
LGBTQ+ and Disability Disparities
- Disabled adults had 28.6% obesity rate versus 22.4% non-disabled in 2020.
- People with disabilities had 3x higher poverty rate at 25%.
- Disabled individuals had 20% lower life expectancy due to comorbidities.
- Adults with disabilities had 40% higher smoking prevalence at 24%.
- Disabled children had 2x higher bullying victimization rates.
- Intellectual disabilities linked to 85% higher early death risk before 65.
- Wheelchair users had 50% unmet healthcare needs due to access.
- Disabled women had 2x higher breast cancer mortality.
- Mental health disabilities had 60% unemployment rate.
- Autistic adults had 80% unemployment or underemployment.
- Disabled rural had 30% longer wait times for specialists.
- LGBTQ+ with disabilities had 70% discrimination in healthcare.
- Vision impaired had 2.5x fall injury rates.
- Hearing loss adults had 25% higher dementia risk.
- Chronic disabled had 35% higher COVID mortality.
- Mobility disabled had 40% food insecurity higher.
LGBTQ+ and Disability Disparities Interpretation
Racial and Ethnic Disparities
- In 2021, non-Hispanic Black women in the US experienced a maternal mortality rate of 69.9 deaths per 100,000 live births, which is 2.6 times higher than the rate for non-Hispanic White women at 26.6 deaths per 100,000 live births.
- American Indian and Alaska Native adults had a diabetes prevalence of 13.6% in 2019, compared to 7.4% among non-Hispanic White adults, representing a 84% higher rate.
- Hispanic children under age 18 had an obesity rate of 26.2% in 2017-2020, which is 1.5 times higher than the 14.3% rate for non-Hispanic White children.
- In 2020, Asian Americans had the lowest COVID-19 hospitalization rate at 45 per 100,000, while Black Americans had 148 per 100,000, a disparity of over 3 times.
- Non-Hispanic Black adults over 20 had hypertension prevalence of 56.2% in 2017-2020, versus 45.3% for non-Hispanic Whites, a 24% relative disparity.
- Native Hawaiian and Pacific Islander women had a breast cancer incidence rate 15% higher than White women in 2014-2018.
- In 2019, Black men had a prostate cancer mortality rate of 38.9 per 100,000, twice that of White men at 18.9 per 100,000.
- Hispanic adults had a 9.0% stroke prevalence in 2019, lower than 11.5% for Blacks but with higher undiagnosed rates at 25%.
- American Indian adults smoked at 31.8% rate in 2020, compared to 12.9% for Asian adults, over 2.4 times higher.
- In 2021, Black youth aged 12-17 had 15.4% major depressive episode rate, versus 11.2% for White youth.
- Non-Hispanic Black individuals had a life expectancy of 71.8 years in 2021, 5.6 years less than non-Hispanic Whites at 77.4 years.
- Hispanic adults had 10.5% asthma prevalence in 2021, higher than 8.1% for non-Hispanic Whites.
- In 2018, Black children had 2.4 times higher rate of food insecurity at 28.5% versus 11.8% for White children.
- Asian American elders over 65 had 10% lower access to mammography screening compared to White elders at 70% screening rate.
- Native Americans had kidney failure incidence 1.5 times higher than Whites in 2021.
- Black women had 40% higher preterm birth rate at 14.1% versus 10.0% for White women in 2021.
- Hispanic men had liver cancer mortality 1.8 times higher than non-Hispanic White men in 2015-2019.
- In 2020, Black adults had 20% higher opioid overdose death rate adjusted for age.
- American Indian women experienced intimate partner violence at 46% lifetime rate versus 34% for White women.
- Non-Hispanic Black teens had 25% higher suicide attempt rate in 2021.
- In 2022, Black maternal mortality was 49.5 per 100,000 live births nationally, 3 times White rate.
- AI/AN had heart disease death rate 1.3 times higher than Whites in 2021.
- Hispanic obesity among adults was 45.6% vs 41.4% Whites in 2020.
- Asian COVID death rate lowest but NHPI 3x White in some states.
- Black lung cancer survival 5-year rate 18.8% vs 24.8% White.
Racial and Ethnic Disparities Interpretation
Rural-Urban Disparities
- Rural residents had 20% higher heart disease death rate at 168 per 100,000 versus 140 in urban areas in 2020.
- Urban children had 15% higher asthma prevalence than rural at 8.5% versus 7.4% in 2019.
- Rural adults over 18 had 38% obesity rate versus 33% urban in 2021.
- Rural counties had 50% more opioid overdose deaths per capita in 2021.
- Urban areas had 2x more access to specialists, rural had 40 minute longer travel times.
- Rural elderly had 18% lower colorectal cancer screening rates at 62% versus 80% urban.
- Rural mothers had 30% higher low birthweight rates at 8.5%.
- Urban poor had 25% higher HIV prevalence than rural poor.
- Rural veterans had 35% higher suicide rates at 32 per 100,000.
- Rural areas had 15% fewer dentists per capita, leading to 20% more ED dental visits.
- Urban youth had 12% higher vaping rates versus 9% rural in 2021.
- Rural diabetics had 25% higher amputation rates due to poor foot care access.
- Urban heat islands caused 10% more heat-related deaths in low-income urban vs rural.
- Rural cancer mortality was 16% higher for lung cancer in 2019.
- Urban immigrants had 18% lower mental health service use due to barriers.
- Rural stroke death rates were 40 per 100,000 higher than urban.
Rural-Urban Disparities Interpretation
Socioeconomic Disparities
- In 2019, adults with household income less than $25,000 had obesity prevalence of 41.3%, compared to 29.7% for those with income over $75,000.
- Low-income children (below 100% FPL) had 23% unmet dental care needs in 2019, versus 7% for high-income children.
- Individuals with less than high school education had 2.5 times higher smoking rate at 28% versus 11% for college graduates in 2020.
- Poor adults had diabetes prevalence of 13.8% in 2019, 2 times higher than non-poor at 6.9%.
- Low SES neighborhoods had 30% higher air pollution exposure linked to 15% more asthma hospitalizations.
- Adults with income <20k had 18.5% depression rate in 2021, versus 6.8% for >70k income.
- Near-poor elderly had 25% higher rate of skipping medications due to cost at 15% versus 5% for high-income.
- Low-income women had cervical cancer screening rate of 75% versus 88% for high-income in 2019.
- Households below poverty had 40% higher food insecurity rate at 22% in 2021.
- Education below college linked to 50% higher cardiovascular disease mortality risk.
- Low SES adults had 3 times higher chronic kidney disease prevalence at 18%.
- Poor children had 2.8 times higher lead poisoning rate >5ug/dL at 2.5%.
- Income <25k associated with 35% higher hypertension control failure.
- Low education mothers had infant mortality 1.7 times higher.
- Uninsured low-income had ER visits 2x higher for preventable conditions.
- Poverty linked to 20% higher adult vaccination gaps for flu.
- Low SES had 28% opioid prescription rates but 45% overdose deaths.
- Poor rural adults had 15% higher suicide rates.
- Income disparity caused 25% more mental health untreated cases.
- Low education <HS had 45% COPD prevalence vs 10% college grads.
- Poverty households had 35% child asthma higher.
- Income <$20k had 50% mental health access barriers.
Socioeconomic Disparities Interpretation
Sources & References
- Reference 1CDCcdc.govVisit source
- Reference 2SEERseer.cancer.govVisit source
- Reference 3SAMHSAsamhsa.govVisit source
- Reference 4ERSers.usda.govVisit source
- Reference 5USRDSusrds.orgVisit source
- Reference 6MCHBmchb.hrsa.govVisit source
- Reference 7EPAepa.govVisit source
- Reference 8KFFkff.orgVisit source
- Reference 9AHAJOURNALSahajournals.orgVisit source
- Reference 10MILLIONHEARTSmillionhearts.hhs.govVisit source
- Reference 11NAMInami.orgVisit source
- Reference 12NIDAnida.nih.govVisit source
- Reference 13RURALHEALTHINFOruralhealthinfo.orgVisit source
- Reference 14VAva.govVisit source
- Reference 15NIMHnimh.nih.govVisit source
- Reference 16BLSbls.govVisit source
- Reference 17PTSDptsd.va.govVisit source
- Reference 18USPREVENTIVESERVICESTASKFORCEuspreventiveservicestaskforce.orgVisit source
- Reference 19NIHnih.govVisit source
- Reference 20SLEEPFOUNDATIONsleepfoundation.orgVisit source
- Reference 21HEARTheart.orgVisit source
- Reference 22WILLIAMSINSTITUTEwilliamsinstitute.law.ucla.eduVisit source
- Reference 23HIVhiv.govVisit source
- Reference 24THETREVORPROJECTthetrevorproject.orgVisit source
- Reference 25DISABILITYCOMPENDIUMdisabilitycompendium.orgVisit source
- Reference 26WHOwho.intVisit source
- Reference 27STOPBULLYINGstopbullying.govVisit source
- Reference 28DOLdol.govVisit source
- Reference 29AUTISMSPEAKSautismspeaks.orgVisit source
- Reference 30RURALHEALTHruralhealth.und.eduVisit source
- Reference 31HRChrc.orgVisit source
- Reference 32NEInei.nih.govVisit source
- Reference 33NIDCDnidcd.nih.govVisit source
- Reference 34FNSfns.usda.govVisit source
- Reference 35AAFAaafa.orgVisit source






