How does
West Virginia
Perform on Health Opportunity and Equity?

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

HEALTH OUTCOMES
48th
Domain score:
4
SOCIAL & ECONOMIC FACTORS
50th
Domain score:
31
COMMUNITY & SAFETY FACTORS
15th
Domain score:
90
PHYSICAL
ENVIRONMENT
5th
Domain score:
87
ACCESS TO
HEALTH CARE
29th
Domain score:
50
Key State Highlights.
Although West Virginia ranks among the top states across measures of environmental opportunity, West Virginians experience the worst health outcomes and socioeconomic indicators in the nation.
  • All racial and ethnic groups in West Virginia face challenges in health care access, as reflected in a state rate of only 63% of residents living in areas with an adequate supply of primary care providers.
  • Many residents experience poorer health outcomes compared to others across the nation. Black adults in West Virginia have the highest premature mortality rate in the state and are least likely to report being in excellent or very good health compared to all other groups.
  • Black residents in West Virginia also face the greatest challenges in attaining home ownership, and are least likely to live in opportunity-rich areas with low rates of homicide.
  • American Indian/Alaska Native populations in West Virginia experience the lowest rates of post-secondary education and face difficulty with earning a livable income and finding quality housing.
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
84%
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
32,887
More young people would need to obtain jobs or enroll in school to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Post-Secondary Education
48%
of adults have post-secondary education
83%
More adults would need to attain post-secondary education to achieve the HOPE Goal
454,798
More adults would need to attain post-secondary education to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Premature Mortality
757.73
deaths per 100,000 adults age 25-64
More 25-64 year old adults surviving per year to achieve the HOPE Goals
5,570
More 25-64 year old adults surviving per year to achieve the HOPE Goals
How Does 
West Virginia
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
WV
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Low Sexual Assault
94%
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
96,319
More people would need to live in counties with low sexual assault rates to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Low Robbery
96%
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
46,664
More people would need to live in counties with low robbery rates to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Oops! Something went wrong while submitting the form.
Low Physical Assault
94%
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
97,288
More people would need to live in counties with low physical assault rates to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Low Homicide
80%
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
325,615
More people would need to live in counties with low murder rates to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Low Liquor Store Density
100%
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
-
More people would need to live in counties with low liquor store density to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Livable Income
56%
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
411,772
More adults would need to live in households with livable incomes to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Low Birthweight
10%
of infants are born with low birth weight
5%
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
802
Fewer low-weight births would need to happen per year to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Health Insurance Coverage
92%
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
87,876
More people under the age of 65 would need to obtain health insurance coverage to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Infant Mortality
6.8
infant deaths per 1,000 live births
2.5
More infants surviving to their first birthday per year to achieve the HOPE Goal
More infants surviving to their first birthday per year to achieve the HOPE Goal
How Does 
West Virginia
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
WV
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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
49,198
More households would need to have good housing quality to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Home Ownership
75%
of households live in a home they own
81%
More households would need to own their homes to achieve the HOPE Goal
39,975
More households would need to own their homes to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Oops! Something went wrong while submitting the form.
Food Security
86%
of people with food security
97%
More people would need to have food security to achieve the HOPE Goal
207,673
More people would need to have food security to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Oops! Something went wrong while submitting the form.
Employment
94%
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
39,063
More people in the labor force would need to be employed to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Dedicated Healthcare Provider
86%
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
77,493
More adults would need to report having a dedicated health care provider to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Child Health Status
88%
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 
West Virginia
Compare to Other States?
HIGHER
LOWER
RACIAL INEQUITY
HIGHER
LOWER
DISTANCE TO GOAL
State Distance to Goal.
Child Health Status
WV
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Adult Health Status
39%
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
410,770
More adults would need to be in very good or excellent health to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Affordable Housing
71%
of households with affordable housing
87%
More households would need affordable housing to achieve the HOPE Goal
62,200
More households would need affordable housing to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Oops! Something went wrong while submitting the form.
Affordable Health Care
88%
of adults with affordable health care
96%
More adults would need to have affordable health care to achieve the HOPE Goal
92,065
More adults would need to have affordable health care to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Access to Psychiatric Care
66%
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
605,103
More people would need to live in counties with access to psychiatric care to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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Access to Primary Care
63%
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
662,210
More people would need to live in counties with access to primary care to achieve the HOPE Goal
How Does 
West Virginia
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%
WV
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