How does
Massachusetts
Perform on Health Opportunity and Equity?

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

HEALTH OUTCOMES
8th
Domain score:
96
SOCIAL & ECONOMIC FACTORS
24th
Domain score:
59
COMMUNITY & SAFETY FACTORS
17th
Domain score:
80
PHYSICAL
ENVIRONMENT
46th
Domain score:
53
ACCESS TO
HEALTH CARE
2nd
Domain score:
97
Key State Highlights.
While Massachusetts ranks in the top states nationwide across measures of health care access and outcomes, residents still suffer from substantial socioeconomic, environmental, inequities across racial/ethnic groups.
  • Hispanic individuals in Massachusetts have the lowest rate of home ownership, post-secondary education or having a dedicated healthcare provider of all populations. They also face greater community and safety challenges, as they are among the least likely to live in areas of low rates of physical assault, robbery, and liquor store density.
  • Despite Massachusetts top ranking for health outcomes, Black and American Indian/Alaska Native populations face substantial inequities. Black populations experience higher rates of premature mortality and low birth weight in infants, as compared to the state rate. American Indian/Alaska Native adults report lower rates in very good or excellent health, as compared to the state rate.
  • American Indian/Alaska Native individuals in Massachusetts also have the lowest rates of affordable and quality housing, and of youth aged 16-24 in school or working.
  • Black populations in Massachusetts are the least likely to live in areas with low rates of homicide and physical assault. Only 79% of Black populations live in low homicide areas compared to the state rate of 91%.
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
92%
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
66,707
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Post-Secondary Education
68%
of adults have post-secondary education
83%
More adults would need to attain post-secondary education to achieve the HOPE Goal
737,419
More adults would need to attain post-secondary education to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Premature Mortality
341.48
deaths per 100,000 adults age 25-64
More 25-64 year old adults surviving per year to achieve the HOPE Goals
7,483
More 25-64 year old adults surviving per year to achieve the HOPE Goals
How Does 
Massachusetts
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
MA
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Low Sexual Assault
100%
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
-
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Low Robbery
73%
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
1,831,110
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Low Physical Assault
85%
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
1,034,486
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Low Homicide
91%
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
927,528
More people would need to live in counties with low murder rates to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Low Liquor Store Density
24%
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
5,125,001
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Livable Income
74%
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
693,480
More adults would need to live in households with livable incomes to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Low Birthweight
7%
of infants are born with low birth weight
5%
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
1,648
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Health Insurance Coverage
97%
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
71,335
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Infant Mortality
3.5
infant deaths per 1,000 live births
2.5
More infants surviving to their first birthday per year to achieve the HOPE Goal
65
More infants surviving to their first birthday per year to achieve the HOPE Goal
How Does 
Massachusetts
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
MA
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Housing Quality
82%
of households have good housing quality
92%
More households would need to have good housing quality to achieve the HOPE Goal
245,600
More households would need to have good housing quality to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Home Ownership
64%
of households live in a home they own
81%
More households would need to own their homes to achieve the HOPE Goal
442,335
More households would need to own their homes to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Oops! Something went wrong while submitting the form.
Food Security
89%
of people with food security
97%
More people would need to have food security to achieve the HOPE Goal
596,047
More people would need to have food security to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Employment
91%
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
286,439
More people in the labor force would need to be employed to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Dedicated Healthcare Provider
90%
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
92,272
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Child Health Status
92%
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 
Massachusetts
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Child Health Status
MA
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Adult Health Status
57%
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
732,238
More adults would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Affordable Housing
64%
of households with affordable housing
87%
More households would need affordable housing to achieve the HOPE Goal
455,572
More households would need affordable housing to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Oops! Something went wrong while submitting the form.
Affordable Health Care
93%
of adults with affordable health care
96%
More adults would need to have affordable health care to achieve the HOPE Goal
160,967
More adults would need to have affordable health care to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Access to Psychiatric Care
100%
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
12,869
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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Access to Primary Care
100%
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
12,869
More people would need to live in counties with access to primary care to achieve the HOPE Goal
How Does 
Massachusetts
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%
MA
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