Tennessee

2010 Grade

F

Rank

44

Grade Key:

S = Satisfactory

S- = Satisfactory Minus

U = Unsatisfactory

F = Fail

Status Indicators

Women's Access to Health Care Services

All Ethnicities

Non-Hispanic

Ages
Indicator White Black American Indian / Alaskan Native Asian / Pacific Islander Hispanic White Black America Indian / Alaskan Native Asian / Pacific Islander 18-44 45-64 65+ 2007 Overall Data 2010 Overall Data 2010 U.S. Data 2010 State Rank 2010 Grade
Women without Health Insurance (%) 17.8 19.6 23.3 39.1 16.8 19.5 38.7 20.5 15.2 15.1 18.2 19.9 31 F
People in Medically Underserved Areas (%) 11.6 10.4 12.1 23
First Trimester Prenatal Care (%) 1 43.4 74.8 54.3 67.6
Women in County without Abortion Provider (%) 56.0 59.0 35.0 35 F

Addressing Wellness and Prevention

Screening

All Ethnicities

Non-Hispanic

Ages
Indicator White Black American Indian / Alaskan Native Asian / Pacific Islander Hispanic White Black America Indian / Alaskan Native Asian / Pacific Islander 18-44 45-64 65+ 2007 Overall Data 2010 Overall Data 2010 U.S. Data 2010 State Rank 2010 Grade
Pap Smears (%) 80.6 85.5 80.5 80.6 85.6 85.2 78.4 58.7 87.3 78.0 82.9 25 F
Mammograms (%) 75.3 80.9 81.7 75.3 80.8 79.2 78.0 74.3 76.0 34 S
Colorectal Cancer Screening (%) 58.8 53.9 38.5 59.2 54.0 65.0 52.0 59.7 61.8 34 S
Cholesterol Screening (%) 78.3 84.0 84.4 78.0 83.9 73.9 90.1 93.7 78.4 83.4 79.4 10 S

Prevention

All Ethnicities

Non-Hispanic

Ages
Indicator White Black American Indian / Alaskan Native Asian / Pacific Islander Hispanic White Black America Indian / Alaskan Native Asian / Pacific Islander 18-44 45-64 65+ 2007 Overall Data 2010 Overall Data 2010 U.S. Data 2010 State Rank 2010 Grade
No Leisure-Time Physical Activity (%) 30.7 39.8 24.2 30.8 39.8 26.3 35.8 44.0 36.0 33.0 26.2 46 F
Obese (%) 29.5 44.9 19.9 29.5 44.8 35.4 38.1 25.9 27.1 34.5 26.4 50 F
Eating Five Fruits and Vegetables a Day (%) 26.7 24.3 33.5 26.6 24.3 27.7 24.0 25.9 27.6 26.1 27.7 35 F
Smoking (%) 22.8 14.1 19.4 22.7 14.2 23.6 20.0 9.9 24.4 19.6 16.8 40 F
Binge Drinking (%) 2 6.0 4.2 7.9 5.7 4.2 6.7 4.2 0.4 4.9 4.7 10.6 2 S
Annual Dental Visits (%) 65.3 56.1 65.2 56.2 70.7 64.9 71.2 43 S

Key Conditions

Key Causes of Death

All Ethnicities

Non-Hispanic

Ages
Indicator White Black American Indian / Alaskan Native Asian / Pacific Islander Hispanic White Black America Indian / Alaskan Native Asian / Pacific Islander 18-44 45-64 65+ 2007 Overall Data 2010 Overall Data 2010 U.S. Data 2010 State Rank 2010 Grade
Coronary Heart Disease Death Rate (per 100,000) 144.7 190.5 53.6 58.1 45.4 145.4 191.6 180.4 149.8 118.9 48 F
Stroke Death Rate (per 100,000) 61.2 77.2 61.5 77.7 4.3 28.8 458.9 66.2 63.2 45.6 51 F
Lung Cancer Death Rate (per 100,000) 49.9 51.9 50.2 52.1 3.2 70.9 263.6 46.8 49.8 40.5 47 F
Breast Cancer Death Rate (per 100,000) 24.9 39.4 25.0 39.6 6.4 45.1 116.0 26.4 26.8 24.0 49 U

Chronic Conditions

All Ethnicities

Non-Hispanic

Ages
Indicator White Black American Indian / Alaskan Native Asian / Pacific Islander Hispanic White Black America Indian / Alaskan Native Asian / Pacific Islander 18-44 45-64 65+ 2007 Overall Data 2010 Overall Data 2010 U.S. Data 2010 State Rank 2010 Grade
High Blood Pressure (%) 27.2 44.3 31.7 27.1 44.3 18.3 40.0 57.8 31.8 33.5 27.7 45 F
Diabetes (%) 9.1 12.7 4.4 9.2 12.6 6.1 12.8 17.6 9.5 10.6 8.3 45 F
AIDS Rate (per 100,000) 8.6 7.9 7.5 39 S-
Arthritis (%) 26.2 25.3 26.2 25.2 31.6 28.4 29.7 15

Reproductive Health

All Ethnicities

Non-Hispanic

Ages
Indicator White Black American Indian / Alaskan Native Asian / Pacific Islander Hispanic White Black America Indian / Alaskan Native Asian / Pacific Islander 18-44 45-64 65+ 2007 Overall Data 2010 Overall Data 2010 U.S. Data 2010 State Rank 2010 Grade
Chlamydia (%) 6.9 6.2 7.4 14 U
Maternal Mortality Rate (per 100,000) 11.7 11.0 12.1 32 S-

Mental Health

All Ethnicities

Non-Hispanic

Ages
Indicator White Black American Indian / Alaskan Native Asian / Pacific Islander Hispanic White Black America Indian / Alaskan Native Asian / Pacific Islander 18-44 45-64 65+ 2007 Overall Data 2010 Overall Data 2010 U.S. Data 2010 State Rank 2010 Grade
Days Mental Health was Not Good in Past 30 Days (days) 4.0 3.9 4.0 29

Living in a Healthy Community

Overall Health

All Ethnicities

Non-Hispanic

Ages
Indicator White Black American Indian / Alaskan Native Asian / Pacific Islander Hispanic White Black America Indian / Alaskan Native Asian / Pacific Islander 18-44 45-64 65+ 2007 Overall Data 2010 Overall Data 2010 U.S. Data 2010 State Rank 2010 Grade
Life Expectancy (years) 3 78.2 78.8 39 F
Days Activities were Limited in Past 30 Days (days) 2.9 3.2 2.5 49
Infant Mortality Rate (per 1,000) 6.8 15.2 7.5 6.5 6.9 15.9 9.1 8.7 6.8 46 F

Economic Security and Education

All Ethnicities

Non-Hispanic

Ages
Indicator White Black American Indian / Alaskan Native Asian / Pacific Islander Hispanic White Black America Indian / Alaskan Native Asian / Pacific Islander 18-44 45-64 65+ 2007 Overall Data 2010 Overall Data 2010 U.S. Data 2010 State Rank 2010 Grade
Poverty (%) 13.9 21.7 26.2 31.8 13.4 21.5 26.2 19.9 10.7 13.6 16.1 15.5 13.4 41 F
Wage Gap (%) 4 79.0 78.2 13 F
High School Completion (%) 85.4 84.7 89.5 54.8 86.4 85.0 89.5 89.9 88.0 69.4 82.2 85.4 87.6 42 F

Policy Indicators

Women's Access to Health Care Services

Access to Health Insurance & Services

Medicaid Eligibility by Income

Indicator Strength of Policy Change from 2007
Pregnant Women Meets Policy Better
Working Parents Limited Policy Same
Aged and Disabled No Policy N/A

Methods to Expand Medicaid Enrollment

Indicator Strength of Policy Change from 2007
Presumptive Eligibility for Pregnant Women Meets Policy Same
Mail-In Application No Policy Worse
Asset Test for Parents Harmful Policy Same

Access to Health Insurance & Services

Indicator Strength of Policy Change from 2007
Public Insurance for Childless Adults Limited Policy N/A
Regulation of Insurance for Individual Coverage Weak Policy Same
Linguistic Access Limited Policy N/A

Access to Specific Services

Gender Rating

Indicator Strength of Policy Change from 2007
Gender Rating in the Individual Health Insurance Market No Policy N/A
Gender Rating in the Group Health Insurance Market No Policy N/A

Pharmaceutical

Indicator Strength of Policy Change from 2007
Medicaid Prescription Number Limits Harmful Policy N/A
Medicaid Prescription Co-payment Harmful Policy Same
AIDS Drug Assistance Program Limited Policy Same

Access to Specific Services

Indicator Strength of Policy Change from 2007
Maternity Care No Policy N/A
Diabetes-Related Services Meets Policy Same

Long-Term Care

Indicator Strength of Policy Change from 2007
Ombuds Staffing Levels No Policy Same
Medicaid Spousal Impoverishment No Policy Same

Mental Health

Indicator Strength of Policy Change from 2007
Mental Health Parity Weak Policy Same
Eating Disorder Parity Limited Policy N/A
Depression Parity Limited Policy N/A

Breast and Cervical Cancer Treatment

Indicator Strength of Policy Change from 2007
Medicaid Coverage Meets Policy Same
Breast Reconstruction Surgery No Policy Same
Mastectomy Hospital Stays No Policy Same

Family Planning

Indicator Strength of Policy Change from 2007
Contraceptive Coverage No Policy N/A
Access to Emergency Contraception No Policy Same
Medicaid Waiver No Policy Same
Infertility Treatment Coverage No Policy N/A

Abortion Access

Indicator Strength of Policy Change from 2007
Clinic Access No Policy Same
Private Insurance Coverage of Abortion Harmful Policy N/A
Parental Consent/Notification Harmful Policy Same
Waiting Periods and Counseling Requirements Meets Policy N/A
Public Funding No Policy Same

Refusals to Provide Reproductive Health Care

Indicator Strength of Policy Change from 2007
Broad Refusals to Provide Reproductive Care Harmful Policy N/A
Pharmacy Refusals Weak Policy N/A

Violence Against Women Assistance

Indicator Strength of Policy Change from 2007
Domestic Violence Weak Policy Better

Family and Medical Support

Indicator Strength of Policy Change from 2007
Family & Medical Leave Limited Policy N/A
Temporary Disability Insurance No Policy Same

Patients' Protections in Managed Care

Indicator Strength of Policy Change from 2007
Direct Access to OB-GYN No Policy Same
Clinical Trials Meets Policy Same
External Review Meets Policy Same

Addressing Wellness and Prevention

Screening Coverage Mandates

Indicator Strength of Policy Change from 2007
Pap Smear Weak Policy Same
Chlamydia Screening Weak Policy Same
Mammogram Limited Policy Same
Osteoporosis Screening Meets Policy N/A
Colorectal Cancer Screening No Policy Same

Prevention

Indicator Strength of Policy Change from 2007
Exercise Limited Policy N/A
Arthritis Program Meets Policy N/A
Maternal Mortality Review No Policy N/A
Sexuality Education in Public Schools No Policy Same
STD/STI/HIV Education in Public Schools Meets Policy Same
Rejection of Abstinence-Only Funds Meets Policy N/A

Nutrition

Indicator Strength of Policy Change from 2007
Food Stamp Outreach Meets Policy Same
Food Stamp Nutrition Education Meets Policy Same

Smoking

Indicator Strength of Policy Change from 2007
Medicaid Smoking Cessation Coverage No Policy Same
Tobacco Sales Rate to Minors Limited Policy Same
Excise Tax Weak Policy Better
State Funding for Tobacco Prevention Weak Policy Better

Living In a Healthy Community

Economic Security

Indicator Strength of Policy Change from 2007
Child Support Pass-Through Meets Policy Same
Child Support Collection Weak Policy Same
State Supplement of SSI Grant No Policy Same
Minimum Wage No Policy Same

Anti-Discrimination

Indicator Strength of Policy Change from 2007
Domestic Violence in Insurance Weak Policy Same
Sexual Orientation in Employment No Policy Same
Genetic Limited Policy Same

Gun Control

Indicator Strength of Policy Change from 2007
Waiting Period/Licensing No Policy N/A
Safe Storage and Locks Limited Policy N/A
Restrictions on Carrying Concealed Weapons No Policy N/A

Demographic Data

Population Data

White (Non-Hispanic) Black (Non-Hispanic) American Indian / Alaskan Native (Non-Hispanic) Asian / Pacific Islander (Non-Hispanic) Hispanic (All) 18-44 45-64 65+ U.S. Data State Overall Data
Population of Females: State, Number 2,488,963 563,493 9,069 48,794 116,692 1,146,824 813,537 486,465 3,227,011
Population of Females: State, Percent 77.1% 17.5% 0.3% 1.5% 3.6% 35.5% 25.2% 15.1% 51.3%
Population of Females: National, Number 102,844,701 20,307,532 1,325,060 7,717,362 23,362,405 55,775,524 38,336,190 22,747,030 155,557,060
Population of Females: National, Percent 66.1% 13.1% 0.9% 5.0% 15.0% 35.9% 24.6% 14.6% 50.7%

Household Data

National # (%) State # (%)
Households Headed by Single Women, number and percent 35,201,014 (30.0%) 790,905 (31.4%)
Lesbian-Headed Households, number and percent 300,890 (0.3%) 5,226 (0.2%)
Median Earnings for Women, amount ($) 35,633 31,329
Women with Disabilities Affecting Workforce Participation, number and percent 8,208,182 (8.6%) 210,434 (10.8%)
Households Living in Linguistic Isolation, number and percent 5,328,211 (4.7%) 31,928 (1.3%)
Births Attended by a Midwife, number and percent 322,440 (8%) 3,783 (4.8%)
Women Residing in Urban Areas, number and percent 113,984,742 (79.50%) 1,885,182 (64.6%)
Women Residing in Rural Areas, number and percent 29,383,601 (20.50%) 1,033,826 (35.4%)
Women with Some College or Associate Degree, number and percent 28,193,100 (27.30%) 551,721 (25.30%)
Women with a Bachelor's Degree or Higher, number and percent 30,275,251 (29.30%) 531,713 (24.40%)

Footnotes

1 Currently, states use two different versions of the U.S. Standard Certificate of Live Birth, the source for prenatal care data used in the Report Card. Data collected using the two different birth certificate revisions are not comparable; therefore the Report Card does not grade or rank the states for this indicator. Data for 17 states--Delaware, Florida, Idaho, Kansas, Kentucky, Nebraska, New Hampshire, New York, North Dakota, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Vermont, Washington, and Wyoming--is based on the 2003 Revision of the U.S. Standard Certificate of Live Birth. Data for the remaining the remaining 33 states and the District of Columbia is based on the 1989 Revision of the U.S. Standard Certificate of Live Birth. Comparison data is shown in the 2007 column only for the states which continue to use the 1989 revision.

2 The definition of binge drinking among women used by the Behavioral Risk Fact Surveillance System (BRFSS: the Report Card’s data source for this indicator) from 2000 to 2005 was five or more drinks per occasion and was modified in 2006 to be four or more drinks per occasion. The apparent change in the prevalence of binge drinking between 2000 and 2010 among women may be related, in part, to this change in definition. Note that the same Healthy People 2010 benchmark (to reduce the prevalence of binge drinking, with no definition specified, to 6%) is used to determine grades for binge drinking in the 2004, 2007, and 2010 Report Cards.

3 Because more current data are not available, the data from the 2007 Report Card have not been updated and are not shown in the 2007 column.

4 The 2010 Report Card uses data from a different source than in 2007, therefore the 2007 data are not shown in the 2007 column.

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