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Can States Simultaneously Improve Health Outcomes and Reduce Health Outcome Disparities?

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Figure 1. Racial gap between blacks and whites versus annual percentage change in combined-race mortality: variation in 38 states’ annual percentage improvement in combined-race mortality and in absolute racial gaps, 1999–2013.

State Combined-Race Mortality, Annual Percentage Change Racial Gap in Mortality, Annual Percentage Change
Alabama (AL) −0.5 −3.9
Alaska (AK) −0.38 −3.64
Arizona (AZ) −1.08 −4.09
California (CA) −1.56 −2.37
Colorado (CO) −1.42 −2.62
Connecticut (CT) −1.66 −3.31
Delaware (DE) −1.16 −4.98
Florida (FL) −1.08 −5.07
Georgia (GA) −1.43 −4.68
Iowa (IA) −0.69 −2.13
Illinois (IL) −1.54 −2.61
Indiana (IN) −0.79 −3.3
Kansas (KS) −0.71 −2.71
Kentucky (KY) −0.39 −5.22
Louisiana (LA) −0.94 −3.17
Massachusetts (MA) −1.74 −4.73
Maryland (MD) −1.83 −3.96
Michigan (MI) −1.07 −2.33
Minnesota (MN) −1.37 −3.32
Missouri (MO) −0.87 −3.37
Mississippi (MS) −0.75 −3.6
North Carolina (NC) −1.29 −4.25
Nebraska (NE) −1.07 −2.2
New Jersey (NJ) −1.75 −3.4
New Mexico (NM) −0.64 −3.93
Nevada (NV) −1.02 −4.5
New York (NY) −1.82 −3.37
Ohio (OH) −0.8 −2.43
Oklahoma (OK) −0.24 −3.22
Oregon (OR) −1.23 −3.64
Pennsylvania (PA) −1.22 −2.94
Rhode Island (RI) −1.22 −6.6
South Carolina (SC) −1.39 −3.94
Tennessee (TN) −0.77 −4.51
Texas (TX) −1.06 −3.96
Utah (UT) −0.84 −2.56
Virginia (VA) −1.49 −3.59
Washington (WA) −1.39 −4.12

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Figure 2. Relative racial disparity versus annual percentage change in combined-race mortality: variation in 33 states’ annual percentage improvement in combined-race (black and white) mortality and relative racial disparities, 1999–2013.

State Combined-Race Mortality, Annual Percentage Change Relative Racial Disparity in Mortality, Annual Percentage Change
Alabama (AL) −0.5 −1.37
Alaska (AK) −0.38 −1.37
Arizona (AZ) −1.08 −1.23
California (CA) −1.56 −0.43
Connecticut (CT) −1.66 −0.82
Delaware (DE) −1.16 −1.80
Florida (FL) −1.08 −1.83
Georgia (GA) −1.43 −1.61
Illinois (IL) −1.54 −0.67
Indiana (IN) −0.79 −1.10
Kansas (KS) −0.71 −0.95
Kentucky (KY) −0.39 −1.58
Louisiana (LA) −0.94 −1.09
Massachusetts (MA) −1.74 −1.30
Maryland (MD) −1.83 −1.25
Michigan (MI) −1.07 −0.72
Minnesota (MN) −1.37 −0.96
Missouri (MO) −0.87 −1.19
Mississippi (MS) −0.75 −1.22
North Carolina (NC) −1.29 −1.53
New Jersey (NJ) −1.75 −1.04
Nevada (NV) −1.02 −0.95
New York (NY) −1.82 −0.83
Ohio (OH) −0.8 −0.72
Oklahoma (OK) −0.24 −0.96
Oregon (OR) −1.23 −0.90
Pennsylvania (PA) −1.22 −0.98
Rhode Island (RI) −1.22 −2.47
South Carolina (SC) −1.39 −1.34
Tennessee (TN) −0.77 −1.67
Texas (TX) −1.06 −1.35
Virginia (VA) −1.49 −1.14
Washington (WA) −1.39 −1.19

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