How does
Kentucky
Perform on Health Opportunity and Equity?

This graphic illustrates how each state compares to other states across various factors that influence health

HEALTH OUTCOMES
46th
Domain score:
55
SOCIAL & ECONOMIC FACTORS
41st
Domain score:
67
COMMUNITY & SAFETY FACTORS
34th
Domain score:
47
PHYSICAL
ENVIRONMENT
16th
Domain score:
43
ACCESS TO
HEALTH CARE
34th
Domain score:
46
Key State Highlights.
Ranking in the bottom five states across health outcomes measures, residents of Kentucky face a host of racial/ethnic socioeconomic, environmental, and health access challenges.
  • American Indian/Alaska Native populations face challenges in attaining a livable income, having access to affordable care and in living in areas with an adequate supply of primary care providers. Whereas 44% of adults in Kentucky report very good or excellent health, only 28% of American Indian/Alaska Native individuals do so.
  • Although Asian/Pacific Islander adults perform better in most measures of opportunity in Kentucky, they are less likely to have a dedicated health provider as compared to the state rate for the population overall. They also are also less likely to live in areas of low sexual assault as compared to the state rate.
  • In addition to facing health outcome challenges with high rates of premature mortality and low birth weights in infants, Black populations also face inequities in home ownership and housing quality and they are less likely than all other groups to live in neighborhoods with low rates of homicide, robbery, and physical assault.
  • Kentucky is among the poorest-performing states in post-secondary education, with Hispanics faring the worst. Hispanic communities also have lower rates of insurance coverage compared to all other groups in the state.
Adult Health Status
Child Health Status
Infant Mortality
Low Birthweight
Premature Mortality
Affordable Housing
Employment
Livable Income
Post-Secondary Education
Youth in School or Working
Low Homicide
Low Physical Assault
Low Robbery
Low Sexual Assault
Food Security
Home Ownership
Housing Quality
Low Liquor Store Density
Access to Primary Care
Access to Psychiatric Care
Affordable Health Care
Dedicated Healthcare Provider
Health Insurance Coverage
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Youth in School or Working
86%
of young people are in school or working
100%
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
74,598
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Youth in School or Working
Hope Goal
100%
60%
70%
80%
90%
100%
KY
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Post-Secondary Education
54%
of adults have post-secondary education
83%
More adults would need to attain post-secondary education to achieve the HOPE Goal
868,277
More adults would need to attain post-secondary education to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Post-Secondary Education
Hope Goal
83%
20%
30%
40%
50%
60%
70%
80%
90%
KY
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Premature Mortality
653.25
deaths per 100,000 adults age 25-64
More 25-64 year old adults surviving per year to achieve the HOPE Goals
11,799
More 25-64 year old adults surviving per year to achieve the HOPE Goals
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Premature Mortality
Hope Goal
241
0
400
800
1200
1600
KY
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Low Sexual Assault
96%
of people live in counties with low sexual assault rates
100%
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
195,010
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Sexual Assault
Hope Goal
100%
0%
20%
40%
60%
80%
100%
KY
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Low Robbery
71%
of people live in counties with low robbery rates
100%
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
1,282,743
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Robbery
Hope Goal
100%
0%
20%
40%
60%
80%
100%
KY
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Low Physical Assault
83%
of people live in counties with low physical assault rates
100%
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
768,419
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Physical Assault
Hope Goal
100%
0%
20%
40%
60%
80%
100%
KY
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Low Homicide
68%
of people live in counties with low murder rates
100%
More people would need to live in counties with low murder rates to achieve the HOPE Goal
1,797,079
More people would need to live in counties with low murder rates to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Homicide
Hope Goal
100%
0%
20%
40%
60%
80%
100%
KY
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Low Liquor Store Density
69%
of people are living in counties with low liquor store density
100%
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
1,039,121
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Liquor Store Density
Hope Goal
100%
0%
20%
40%
60%
80%
100%
KY
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Livable Income
58%
of adults live in households with livable income
88%
More adults would need to live in households with livable incomes to achieve the HOPE Goal
921,414
More adults would need to live in households with livable incomes to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Livable Income
Hope Goal
88%
20%
30%
40%
50%
60%
70%
80%
90%
KY
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Low Birthweight
9%
of infants are born with low birth weight
5%
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
2,003
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Low Birthweight
Hope Goal
5%
4%
6%
8%
10%
12%
14%
16%
18%
KY
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Health Insurance Coverage
93%
of people under age 65 have health insurance coverage
98%
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
193,073
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Health Insurance Coverage
Hope Goal
98%
50%
60%
70%
80%
90%
100%
KY
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Infant Mortality
6
infant deaths per 1,000 live births
2.5
More infants surviving to their first birthday per year to achieve the HOPE Goal
183
More infants surviving to their first birthday per year to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Infant Mortality
Hope Goal
2.5
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
KY
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Housing Quality
85%
of households have good housing quality
92%
More households would need to have good housing quality to achieve the HOPE Goal
119,553
More households would need to have good housing quality to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Housing Quality
Hope Goal
92%
55%
60%
65%
70%
75%
80%
85%
90%
95%
KY
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Home Ownership
70%
of households live in a home they own
81%
More households would need to own their homes to achieve the HOPE Goal
190,965
More households would need to own their homes to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Home Ownership
Hope Goal
81%
0%
20%
40%
60%
80%
100%
KY
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Food Security
79%
of people with food security
97%
More people would need to have food security to achieve the HOPE Goal
819,833
More people would need to have food security to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Food Security
Hope Goal
97%
30%
40%
50%
60%
70%
80%
90%
100%
KY
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Employment
93%
of people in the labor force are employed
99%
More people in the labor force would need to be employed to achieve the HOPE Goal
120,212
More people in the labor force would need to be employed to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Employment
Hope Goal
99%
75%
80%
85%
90%
95%
100%
KY
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Dedicated Healthcare Provider
85%
of adults have a usual source of care
92%
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
203,639
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Dedicated Healthcare Provider
Hope Goal
96%
40%
50%
60%
70%
80%
90%
100%
KY
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Child Health Status
89%
of children in very good or excellent health
98%
More children would need to be in very good or excellent health to achieve the HOPE Goal
More children would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Child Health Status
KY
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Adult Health Status
44%
of U.S. adults are in very good or excellent health
73%
More adults would need to be in very good or excellent health to achieve the HOPE Goal
856,007
More adults would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Adult Health Status
Hope Goal
73%
20%
30%
40%
50%
60%
70%
KY
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Affordable Housing
71%
of households with affordable housing
87%
More households would need affordable housing to achieve the HOPE Goal
174,864
More households would need affordable housing to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Housing
Hope Goal
87%
30%
40%
50%
60%
70%
80%
KY
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Affordable Health Care
90%
of adults with affordable health care
96%
More adults would need to have affordable health care to achieve the HOPE Goal
175,641
More adults would need to have affordable health care to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Affordable Health Care
Hope Goal
97%
50%
60%
70%
80%
90%
100%
KY
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Access to Psychiatric Care
57%
of people live in counties with access to psychiatric care
100%
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
1,910,319
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Psychiatric Care
Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
KY
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Access to Primary Care
66%
of people live in counties with access to primary care
100%
More people would need to live in counties with access to primary care to achieve the HOPE Goal
1,524,547
More people would need to live in counties with access to primary care to achieve the HOPE Goal
How Does 
Kentucky
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Access to Primary Care
Hope Goal
100%
20%
30%
40%
50%
60%
70%
80%
90%
100%
KY
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