HOPE includes four indicators that measure aspects of the physical environment that affect health. These measures capture how well the places where people live, work, and play either promote or discourage health and well-being
Domain Summary Score
0
100
NOT AVAILABLE

The domain summary score is an average of each state’s indicator scores within the domain. It measures how far a state has to go to meet the HOPE Goal (Distance to Goal) and how much variation there is across racial and ethnic groups within the state (Racial Inequity). Domain summary scores can range from 0 to 100 with higher scores indicating better combined performance.

Wyoming

58

Wisconsin

78

West Virginia

87

Washington

85

Utah

92

Virginia

80

Vermont

48

Texas

75

Tennessee

76

South Dakota

52

South Carolina

76

Rhode Island

48

Oregon

85

North Carolina

93

Pennsylvania

80

Oklahoma

86

Ohio

70

North Dakota

54

New York

35

New Mexico

90

New Jersey

46

Nebraska

64

Missouri

78

Nevada

78

New Hampshire

84

Mississippi

71

Montana

67

Massachusetts

53

Louisiana

79

Minnesota

58

Maryland

75

Maine

82

Michigan

54

Kentucky

43

Idaho

94

Indiana

87

Kansas

63

Iowa

66

Illinois

65

Hawaii

64

Georgia

75

20

Connecticut

63

California

68

Florida

65

Delaware

64

Colorado

60

Arizona

64

Arkansas

44

Alaska

74

Alabama

75

Domain Summary
Regional Patterns
Of the ten states performing best on the physical environment domain, five states are located in the West and three are in the South. The Northeast region fares poorly on this domain, with five states among the bottom ten performing states.

Top 10 Performing States

  1. Idaho
  2. North Carolina
  3. Utah
  4. New Mexico
  5. West Virginia
  6. Indiana
  7. Oklahoma
  8. Washington
  9. Oregon
  10. New Hampshire

Top Takeaways

Generally, the top five states perform better across indicators and are closer to HOPE goals.

  • All of the top five states perform well on the low liquor store density indicator, with at least 94% of people of all races and ethnicities living in counties with low liquor store density.
  • Both Idaho and Virginia are in the top five states for housing quality with below average inequity and below average distance to goal.

Although Idaho and West Virginia are the the top five states for home ownership, the opportunity to own one’s home is not spread evenly across groups.

  • In particular, Black and Hispanic residents in both states have the lowest home ownership rates (40% and 52%, respectively in Idaho as compared to a state average of 72%, and 42% and 55%, respectively in West Virginia as compared to a state average of 74%).

Bottom 10 Performing States

  1. District of Columbia
  2. New York
  3. Kentucky
  4. Arkansas
  5. New Jersey
  6. Rhode Island
  7. Vermont
  8. South Dakota
  9. Massachusetts
  10. Michigan

Top Takeaways

All bottom five states have average to high inequities across Home Ownership, Housing Quality, and Liquor Store Density.

  • For example, 78% of White residents own homes compared to only 25% of Black and 46% of Hispanic residents in Minnesota. The same is true in South Dakota, where 74% of Whites own homes, compared to 20% of Black, 38% of American Indian/Alaska Native, 37% of Asian/Pacific Islander, 46% of Multiracial, and 48% of Hispanic residents.
  • In examining housing quality, American Indians/Alaskan Native populations are more likely to live in sub-quality homes than other racial/ethnic groups in Rhode Island, South Dakota and Massachusetts.

The bottom five states rank in the bottom twenty states for Low Liquor Store Density.

  • Rhode Island and Minnesota, in particular, face some of the highest inequities and above average to high distance to goal.
  • In Minnesota, for example, whereas 93% of Black and Asian/Pacific Islander residents live in areas with low liquor store density, only 36% of American Indian/Alaska Native populations live in such areas.

New York and Massachusetts are positive outliers on food security among the bottom five performing states due to very low distance to goal and small variation between groups.

  • On average, 96% of New York residents and 94% of Massachusetts residents live in food secure areas compared to the national benchmark of 97%.
  • At least 9 in 10 people of all race and ethnic groups live in food secure areas.
*The four indicators in this domain include: Home Ownership, Housing Quality, Food Security, and Low Liquor Store Density. It should be noted that for Low Liquor Store Density everyone in seven states met the threshold, while in two others, 100% of the population failed to meet the criteria.