Jersey making strides in health

Drops in infant deaths, kids in poverty boost ranking, but obesity, uninsured are concerns
Monday, December 12, 2005 • BY ANGELA STEWART • Star-Ledger Staff

Buoyed by a sharp decline in the number of children living in poverty, the overall health picture in New Jersey improved this year, a new report shows.

New Jersey placed 15th in the U.S. -- up from 17th last year -- according to America's Health: State Health Rankings, easily beating neighboring states Pennsylvania (25th), New York (26th) and Delaware (33rd).

The state's overall score also was supported by a 10 percent increase in immunization rates and the fact infant mortality rates have declined 45 percent since 1990.

Cecilia Zalkind, executive director of the Association for Children of New Jersey, acknowledged improvements that cut the number of children in poverty to 8.4 percent, but said she was still concerned by so many "pockets of poverty" here.

"When you look at children living in the poorer communities of the state, they are really living in conditions that you wouldn't realize if you just looked at the statewide poverty levels," she said.

The 16th annual report -- issued today by United Health Foundation in conjunction with the American Public Health Association and Partnership for Prevention -- provides a health snapshot of all 50 states. The report ranks states in 18 categories.

In this year's report, significant improvement was made nationwide in areas such as motor vehicle deaths, smoking, infectious disease and cardiovascular deaths.

An increasing number of uninsured people and obesity were two notable concerns.

The prevalence of obesity has gone from 11.6 percent of the population in 1990 to 23.1 percent today, according to the report. New Jersey's comparative ranking slid from 10th last year to 17th now.

New Jersey's four-year high school graduation rate is the highest in the nation, at 89.8 percent. Nationwide, just 68.3 percent of incoming ninth graders graduate on time and the rate is declining.

But just 63.4 percent of pregnant women in New Jersey are receiving adequate prenatal care and the infectious disease rate is still among the highest in the country.

Eddy Bresnitz, state epidemiologist, said although New Jersey's state ranking on certain indicators may still be lacking, it has clearly been moving in the right direction. For example, he said the infectious disease incidence rate in New Jersey has gone from 42.7 cases per 100,000 in 1990 to 29.1 per 100,000 in the 2005 report.

"I think more important than the (state) rankings is our overall progress in improving various factors used to assess the overall health of New Jersey, ... we've seen good improvements," Bresnitz said.

Minnesota was the healthiest state this year, with Vermont second. New Hampshire, Utah, Hawaii and North Dakota follow.

Mississippi slid a spot to last in the rankings. Tennessee and Louisiana, ranked 48th and 49th, respectively, also continue to face serious health challenges.

Premature death -- defined as the number of years of potential life lost prior to age 75 -- also is up in this year's report and of growing concern.

"Our nation's slowing rate of improvement should be of concern to us all," said William McGuire, chairman of the United Health Foundation's board of directors.

A total of 28 countries also now have healthy life expectancies greater than the United States, including the United Kingdom, France, Germany and Japan.

"This comparative information is extremely important because it is an indication that we as a nation have not achieved optimal health. As Americans, it is apparent that we can -- and must -- do better," said Georges Benjamin, executive director of the American Public Health Association, which is releasing the report today in Philadelphia during its annual meeting.

The America's Health Rankings 2005 Report can be viewed in its entirety at www.americashealthrankings.org.


Angela Stewart writes about health care. She may be reached at astewart@starledger.com or (973) 392-4178.
© 2005 The Star-Ledger. Used by NJ.com with permission.

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