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    KIDSCOUNT

    DATABOOK

    STATETRENDSINCHILDWELL-BEING

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    DATABOOK

    STATETRENDSINCHILDWELL-BEING

    KIDSCOUNT

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    Te Annie E. Casey FoundationsKIDS COUN Data Bookcould notbe produced and distributed withoutthe help of numerous people. Tepublication was produced under thegeneral direction of Laura Speer andFlorencia Gutierrez. Other Casey staff

    who contributed to this report include

    Sue Lin Chong, Ryan Fox, Lisa Hamilton,John Hodgins, Michael Laracy andNorris West. Nancy Cauthen provided

    writing and research support.Te Population Reference Bureau

    was instrumental in the developmentof the KIDS COUN index and inthe collection and organization of datapresented in this book. We are especiallygrateful to Jean DAmico, AliciaVanOrman and Kelvin Pollard.

    Special thanks are also due the

    staff at KINEIK, for design andproduction services; the staff at Fenton,for help in promoting the Data Book;

    and Jayson Hait of eye4detail, for proof-reading and copyediting services.

    Finally, we would like to thank the stateKIDS COUN projects (see page 50), formaking the Data Bookavailable to national,state and local leaders across the country.

    Permission to copy, disseminate orotherwise use information from this

    Data Bookis granted as long as appropriateacknowledgment is given.

    Outreach PartnersTe Annie E. Casey Foundation wishesto thank our outreach partners for theirsupport and assistance in promoting anddisseminating the 2016 KIDS COUNData Book. With the help of our partners,data on the status and well-being of kidsand families are shared with policymak-ers, advocates, practitioners and citizens to

    help enrich local, state and national dis-cussions on ways to improve outcomes forAmericas most vulnerable children.

    ACKNOWLEDGMENTS

    The 2016 KIDS COUNT Data Bookcan be viewed,

    downloaded or ordered at www.aecf.org/2016db.

    To learn more about the Annie E. Casey Foundations

    2016 KIDS COUNT Outreach Partners, please visit

    www.aecf.org/outreachpartners.

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    CONTENTS

    4 FOREWORD

    12 TRENDS

    17 Overall Child Well-Being

    20 Economic Well-Being

    24 Education

    28 Health

    32 Family and Community

    38 KIDS COUNT DATA CENTER

    40 APPENDICES

    46 About the Index

    47 Definitions andData Sources

    50 Primary Contacts forState KIDS COUNTProjects

    53 About the Annie E. CaseyFoundation and KIDS COUNT

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    FOREWORD

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    5The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    2016 KIDS COUNT DATA BOOK

    The past few years have brought some positive

    developments for families and children. Economic growth

    has been steady, with nearly 13 million new jobs createdsince the end of the recession.1More children have health

    insurance. The high school graduation rate is rising, and

    fewer teens are abusing drugs and alcohol. Births to

    teenage mothers continue to decline and are at a record

    low.2These improvements in the well-being of young people

    are due in part to federal, state and local policies that are

    helping prepare the next generation for the future.

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    6 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    Yet, if we dig a little deeper, it quicklybecomes clear that all is not well. Teoverall unemployment rate is almost downto its pre-recession level, but it remainsabove the national average for African

    Americans and Latinos, for workers withonly a high school diploma or less andfor young adults. Even as more affluent

    families have recovered, the child povertyrate remains high. Te steep cost ofcollege is making it difficult for youngpeople to obtain the skills and credentialsthat lead to greater earnings and economicmobility. Far too many parents are strug-gling to provide for their families andare deeply concerned about the futureprospects for their children.

    So its not surprising that economicinsecurity is one of the electorates primaryconcerns this election season. Voters across

    the political spectrum are demandingthat officials prioritize policies to addresstheir bread-and-butter concerns. As publicpressure mounts for policymakers to findcommon ground and take action, our nextpresident and a new Congress will havea rare opportunity to forge a bipartisanpolicy agenda to reduce poverty, increaseopportunity and restore hope for todaysparents and the young people who willlead our country going forward.

    The Growing Opportunity Gap:

    Critical Challenges Facing Low-IncomeFamilies, Children and YouthMore than two decades of research makeit clear that growing up in a low-incomefamily can have profound effects onchildren. Particularly when experiencedby young children, poverty can impedetheir cognitive, social and emotionaldevelopment and contribute to poor

    health. Continuing to ignore theseissues increases a childs likelihoodof experiencing difficulties later inlife, such as dropping out of school,becoming a teenage parent and facingpoor employment outcomes.

    Tese consequences explain whythe stubbornly high child poverty rate

    is so troubling. Despite the economicrecovery, the child poverty rate remainedat 22 percent in 2014, unchangedfrom the prior year.3Even this figuresubstantially understates the proportionof children facing economic hardship.Researchers estimate that families needan income that is at least twice the federalpoverty level $48,016 for a familyof four4 to cover basic expenses forhousing, food, transportation, healthcare and child care.5In 2014, 44 percent

    of children lived in households withincomes less than twice the poverty level.6And, 30 percent of children lived infamilies where no parent had full-time,year-round employment.7We cannot alloweconomic hardship to limit the potentialof nearly half of all American children.

    Declining Opportunity for WorkersWithout a College Degreeo improve the well-being of children,our elected leaders must address theeconomic obstacles facing workers at

    the bottom half of the income scale. Terecession deepened the problem of long-term unemployment: In April, nearly26 percent of the unemployed had been

    jobless for six months or more, comparedwith 16 percent to 18 percent in the yearsprior to the downturn.8Some jobless

    workers become so discouraged that theydrop out of the labor market a ltogether.

    To improve the well-beingof children, our electedleaders must address theeconomic obstacles facingworkers at the bottomhalf of the income scale.

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    7The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    As a result, a smaller percentage ofworking-age adults are in the labor forcenow than before the recession.9

    Even when parents find work, manyfamilies are still struggling and unableto get ahead because the economic crisisexacerbated a much longer-term trend:a steep decline in the availability of

    high-quality jobs that pay high schoolgraduates middle-class incomes. Blue-collar jobs that once provided high schoolgraduates with a reliable ticket to themiddle class have disappeared or beenreplaced with lower-paying sometimestemporary positions with few or nobenefits.10Although job creation has beensteady since the end of the recession, thenew jobs have been disproportionatelyconcentrated in low-wage sectors such asretail and food service.11Workers in these

    jobs often experience income volatilityand have unpredictable schedules thatconflict with their roles as parents.12

    Wages have not yet returned to pre-recession levels; in 2014, the medianincome was 13 percent lower than in 2004.13But most worrisome is the longer-termtrend: Workers in the bottom 10 percentof the income scale have seen their real,inflation-adjusted wages decline since1979, while wages have risen 40 percentfor those in the top 5 percent.14

    Education and Income Gaps Among ParentsFuel Widening Disparities Among Kids15

    Te long-term decline in economicopportunity for workers without abachelors degree has contributed to agrowing opportunity gap among children.Te typical life experiences of childrenin low-income families with non-college-educated parents have become

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    8 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    increasingly different, and separate,from those of children in families withhighly educated parents.

    Parents with at least a bachelors degreehave far more money, on average, to investin their childrens enrichment throughbooks, tutors, music and dance lessons,sports, museums and other educational

    activities than parents with only a highschool diploma. And as the earnings gapbetween college and high school gradu-ates has widened, so too has the resourceadvantage that accrues to children of themost highly educated. Te children inaffluent families are also more likely thanthose in low-income families to grow upin two-parent households, doubling theireconomic advantages.

    In addition to the aforementionedenriching activities, the resource gap

    extends to parental time, which alsoenhances a childs development. College-educated parents spend far more time

    with their children than do parentswith less education. However, parentsof alleducation levels are interactingmore with their young children thanparents did 20 years ago. Tose strugglingto make ends meet who may be

    juggling multiple jobs or schedules thatconstantly change find it much moredifficult to carve out time for playinggames as a family, checking in with the

    kids at the dinner table or reading totheir children at bedtime.

    Advantages that start at birthcontinue to accumulate as kids growup. By the time children enter kinder-garten, the children of higher-income,college-educated parents already havean enormous head start over kids fromless advantaged families. Teir cognitive

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    9The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    and social-emotional skills are often farmore developed, and their vocabulariesare more extensive.

    Because of increased residentialsegregation by socioeconomic status,higher-income kids typically attendmore highly resourced schools, whetherpublic or private, with smaller classes and

    more experienced teachers. Tey are morelikely to live in stable, safe neighborhoodsand less likely to experience violenceand conflict than their low-income peers.Because economic and racial disparitiesare closely intertwined, these trends haveimpeded progress for African-Americanand Latino children.

    None of this is to say that kids of lesseducated, low-income parents are doomedto failure theyre not. Children areincredibly resilient and have the potential

    to overcome adversity. Te point is thatdeclining economic opportunities andthe intense stress that economic hardshipplaces on families have stacked the oddsagainst children growing up in low- tomoderate-income households. Tey havefewer opportunities for moving up thanthe previous two generations.

    A Tough Labor Market for YoungPeople Diminishes Future Prospects

    Although it is critical to address decliningeconomic opportunities for todays parents

    without a college degree to improve thelife chances of their young children, wemust simultaneously take steps to reversethe troubling labor market trends forthe young adults who will become tomor-rows parents. Among recent high schoolgraduates, the unemployment rate is28 percent for blacks, 17 percent forLatinos and 15 percent for whites. Many

    high school grads who want full-timework can find only part-time jobs.Others have become frustrated andstopped looking for work.16Involvement

    with the juvenile justice system derailseducational and employment prospectsfor an alarming number of young people;most of them are youth of color and are

    already facing significant barriers.Recent high school grads who are

    lucky enough to have a job earn, on aver-age, $10.66 an hour. When adjusted forinflation, that amount is less than thisgroup earned in 2000. Even full-time,year-round work at this level thoughmost low-wage jobs are neither full timenor year-round yields an annual incomeof roughly $22,000, which is below thepoverty level for a family of four.17

    A college degree has long been viewed

    as a ticket to better opportunities. Butthe cost of postsecondary education hasbecome prohibitive for low-income youngpeople because of rising tuition and a shiftin financial aid away from needs-basedgrants to loans. Although the percentageof low-income students entering collegehas gradually increased over time, only asmall portion actually complete a degree;high costs and the need to earn moneylead many low-income students to dropout.18Family income is now more highlycorrelated with college completion than

    with academic ability. In other words,low-performing, high-income kids aremore likely to obtain a college degreethan high-performing, low-income kids.19

    Only a third of young workers between24 and 29 years old have a bachelorsdegree or higher. However, among youngadults of color, even college graduates facea tough labor market. Te unemployment

    Family income is nowmore highly correlatedwith college completionthan with academic abilityIn other words, low-performing, high-incomekids are more likely toobtain a college degree

    than high-performing,low-income kids.

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    10 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    coming together around broadly sharedAmerican values. Last year, a reportby the American Enterprise Instituteand the Brookings Institution sharedthe findings of a bipartisan workinggroup on poverty and opportunity thatidentified three such values: opportunity,responsibility and security.21

    Opportunity:Individuals, regardlessof background, should be given thechance to achieve their full potential.

    Responsibility:Individuals should beaccountable for things they can control.

    We all have mutual responsibility whenit comes to family members and ourfellow citizens.

    Security:Given that there are things

    beyond our control such as healthcrises, accidents and recessions socialinsurance can provide some measureof protection.

    Te Closing the Opportunity Gapproject of the Saguaro Seminar atHarvards Kennedy School of Governmentalso brought together experts with

    wide-ranging perspectives. Both groupsidentified policy ideas to reduce povertyand inequality, to increase opportunityand, ultimately, to ensure that family

    background is not the primary determi-nant of ones destiny in the land ofthe American Dream.22Tese effortsgenerated promising solutions to someof our most pressing challenges, enablingus to move toward our shared visionof a nation that provides opportunity,rewards responsibility and ensures somemeasure of security:

    rate for recent African-Americancollege grads is 9.4 percent; for Latinos,its 6.5 percent.20

    o increase opportunity for youngpeople, policymakers must confrontseveral issues. Access to postsecondarydegrees is increasingly becoming aprivilege available primarily to the already

    privileged. alented low-income highschool graduates need more support toobtain a college education not onlyfinancial assistance, but also adequateguidance in high school. Young people

    with only a high school diploma needbetter job opportunities that pay family-supporting wages. In addition, we mustreform our approach to juvenile justice sothat young people are held accountable,but provided with a positive path forward.

    Finding Our Way ForwardDiminished opportunity for childrenraised in low-income families results ina huge loss of human potential. On anindividual level, it betrays the promiseof this countrys aspirations and values.Collectively, insufficient investment inour nations human capital poses an urgenteconomic and moral threat to the nationsfuture. However, recent progress in otherareas of child well-being demonstratesthat sensible public policy could helpturn the tide. We believe that our nation

    can, and must, find common ground onpolicy solutions to address the devastatingeconomic instability experienced bymillions of American families.

    The Promise of Starting WithCore American Values

    We believe that the most fruitful pathforward begins with policymakers

    We believe that our nationcan, and must, find commonground on policy solutionsto address the devastatingeconomic instabilityexperienced by millionsof American families.

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    1The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    We can increase opportunity by expand-ing access to high-quality pre-K and earlychildhood services so that all childrenare prepared to succeed in school and byexpanding access to higher education andtraining so that low-income young peoplehave a fair chance to develop their potential.

    We can reward responsibility by increasingthe Earned Income ax Credit for low-income workers who do not have dependentchildren, a strategy that makes work payfor those struggling to get by on low wages.

    We can also ensure a measure of securityto low-income parents of young childrenby providing paid family leave that helpsthem balance their obligations at homeand in the workplace.

    A Call to Action on Behalf ofAmericas Children and Families

    We acknowledge that our leaders havethe unenviable task of finding solutionsto challenges that have been in the makingfor four decades. Te American people areexpecting the next president and Congressto address their urgent concerns about eco-nomic inequality, stagnant wages, the dearthof good jobs for workers without a four-yearcollege degree and the obstacles low-incomestudents face in obtaining postsecondary edu-cation and training. On their behalf, we call

    on our countrys current and potential leadersacross the political spectrum to seize thisunique moment by taking bold and decisiveaction to reduce economic insecurity andrestore the American promise of opportunity.

    Patrick T. McCarthyPresident and CEOThe Annie E. Casey Foundation

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    TRENDS

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    13The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    Te KIDS COUN index uses fourdomains to capture what children needmost to thrive: (1) Economic Well-Being,(2) Education, (3) Health and (4) Family

    and Community. Each domain includesfour indicators, for a total of 16. Teseindicators represent the best available datato measure the status of child well-beingat the state and national levels. (For amore thorough description of the KIDSCOUN index, visit www.aecf.org/2016db.)

    Tis years Data Bookpresents bothcurrent data and multiyear trends, whichmost often compare data from 2008 withthose from 2014, the most recent yearavailable. Tey allow us to assess how thecountrys children have fared in the after-

    math of the economic crisis. State rankingsfocus only on the most recent data.

    National Trends in Child Well-BeingComparing data during the past six or soyears reveals positive and negative devel-opments in child well-being nationally(see Figure 1). Broadly speaking, childrenexperienced gains in the Education and

    Health domains, but setbacks in theEconomic Well-Being and Family andCommunity domains.

    wo of the four Economic Well-Being

    indicators got worse, showing that familieswith children have not fully recovered fromthe deep recession, despite being severalyears into the recovery. Although still notback up to their pre-recession rates, mosteconomic indicators have improved since2010. Nonetheless, in 2014, child povertyremained stagnant at 22 percent after see-ing its first drop since 2008 in 2013.

    Its important to note that in 2014, theyear of our most recent data, the nationalunemployment rate was 6.2 percent, buthas since declined to 5.0 percent.23Given

    these gains in employment one of thekey factors to improving the economic

    well-being of families we expect to seeongoing progress in the Economic Well-Being domain data for 2015 and 2016.

    In contrast, three of the four Educationindicators which cover preschool to highschool graduation showed some steadyimprovement. Notably, with 82 percent of

    Since 1990, KIDS COUNT has ranked states annually on

    overall child well-being using an index of key indicators.

    STATUS OF CHILDREN

    Profile Pages Online

    National and state profiles

    providing current and

    trend data for all 16indicators are available

    at www.aecf.org/2016db.

    National and state data

    are also available in

    Appendix 2, on page 42.

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    National Trends in 16 Key Indicators of Child Well-Being by Domain

    FIGURE 1

    14 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    N.A.NOT AVAILABLE

    Teen births per 1,000Children in families wherethe household head lacks

    a high school diploma

    Children insingle-parent families

    Children living inhigh-poverty areas

    FAMILY ANDCOMMUNITY

    2014

    24249,078BIRTHS

    IMPROVED

    2008 40

    2014

    14%10,412,000CHILDREN

    IMPROVED

    2008 16%

    2014

    35%24,689,000CHILDREN

    WORSENED

    2008 32%

    201014

    14%10,333,000CHILDREN

    WORSENED

    200610 11%

    Teens who abusealcohol or drugs

    Child and teen deathsper 100,000

    Children withouthealth insurance

    Low-birthweight babies

    HEALTH

    201314

    5%1,276,000TEENS

    IMPROVED

    200708 8%

    2014

    2418,666DEATHS

    IMPROVED

    2008 29

    2014

    6%4,397,000CHILDREN

    IMPROVED

    2008 10%

    2014

    8.0%318,847BABIES

    IMPROVED

    2008 8.2%

    High school studentsnot graduating on time

    Eighth graders notproficient in math

    Fourth graders notproficient in reading

    Young childrennot in school

    EDUCATION

    2012/13

    18%N.A.

    IMPROVED

    2007/08 25%

    2015

    68%N.A.

    IMPROVED

    2007 69%

    2015

    65%N.A.

    IMPROVED

    2007 68%

    201214

    53%4,387,000CHILDREN

    WORSENED

    200709 52%

    Children living inhouseholds with a high

    housing cost burden

    Children whose parentslack secure employment

    Children in povertyTeens not in school

    and not working

    ECONOMICWELL- BEING

    2014

    22%15,686,000 CHILDREN

    WORSENED

    2008 18%

    2014

    35%25,710,000 CHILDREN

    IMPROVED

    2008 39%

    2014

    30%22,061,000 CHILDREN

    WORSENED

    2008 27%

    2014

    7%1,255,000 TEENS

    IMPROVED

    2008 8%

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    15The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    high school students graduating on time in

    2012/13, the U.S. high school graduationrate is at an all-time high.

    Similarly, child health continued toimprove, with gains in all four indicators.Te largest improvement was in the rate ofchildren without health insurance. Fewerchildren lacked access to health insurancecoverage in 2014 than before the recession,despite higher unemployment and a declinein employer-sponsored health insurancecoverage during the past several years.

    rends in the Family and Communitydomain were mixed. Te teen birth rate

    continued its dramatic decline, reaching anew all-time low. And, a smaller percentageof children were living with parents wholack a high school diploma. However, thepercentage of children living in single-parentfamilies was higher in 2014 than in 2008.

    Especially troubling is the steadyincrease in the likelihood of children grow-ing up in a high-poverty neighborhood.

    At the national level, 14 percent of childrenlived in areas where poverty rates were ator above 30 percent in 201014. Tis is

    a significant increase from 11 percent in200610 and 9 percent in 2000.Overall, developments in child well-

    being since 2008 demonstrated importantprogress in some areas, while highlightingthe substantial work necessary to improvethe prospects for the next generation.

    Racial Gaps in Child Well-BeingPerhaps the most striking finding is thatdespite tremendous gains during recentdecades for children of all races andincome levels, inequities among children

    remain deep and stubbornly persistent(see Figure 2). On nearly all of the mea-sures that we track, African-American,

    American Indian and Latino childrencontinued to experience negative outcomesat rates that were higher than the nationalaverage. Tere are a few notable excep-tions. African-American children weremore likely than the national average

    to have health insurance coverage, to be

    in school as young children and to live infamilies where the household head hasa high school diploma. American Indianfamilies with children were less likelyto experience a high housing cost burden,and both American Indian and Latinochildren were more likely to be bornat a healthy birthweight. Latino childrenand teens also had a lower death ratethan the national average.

    However, on many indicators, childrenof color continued to face steep barriers tosuccess. African-American children were

    significantly more likely than the averagechild to live in single-parent families andhigh-poverty neighborhoods. AmericanIndian children were twice as likely to livein neighborhoods with limited resourcesand to lack health insurance. And Latinochildren were the most likely to live witha household head who does not have ahigh school diploma and to not be inschool when they are young. Latinas alsohave the highest teen birth rate.

    oday, in 12 states, children of color

    are the majority of the child population,and demographers predict that childrenof color will be the majority of all childrenin America before the end of the currentdecade. Te future success of our nationdepends on our ability to ensure that allchildren have the chance to be successful.

    In April 2014, the Foundationreleased Race for Results: Building aPath to Opportunity for All Children,24

    which explores what it takes for allchildren to become successful adults andthe barriers to opportunity that continue

    to exist for many children of color. TisKIDS COUN Policy Report compareshow children are progressing on keymilestones across racial and ethnic groupsat the national and state levels. Te report

    will be updated in 2017 and will include aspecial focus on children living in immi-grant families. For more information, accessthe report at www.aecf.org/race4results.

    Fewer children lackedaccess to healthinsurance coverage in2014 than before therecession, despite higherunemployment and adecline in employer-sponsored health

    insurance coverage duringthe past several years.

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    National Key Indicators by Race and Hispanic Origin

    FIGURE 2

    16 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    ECONOMIC WELL-BEINGNationalAverage

    AfricanAmerican

    AmericanIndian

    Asian andP acif ic I sland er Hisp anic

    Non-HispanicWhite

    Two orMore Races

    Children in poverty

    Children whose parents lacksecure employment

    Children living in households witha high housing cost burden

    Teens not in school and not working

    2014

    2014

    2014

    2014

    EDUCATIONNationalAverage

    AfricanAmerican

    AmericanIndian

    Asian andP acif ic I sland er Hisp anic

    Non-HispanicWhite

    Two orMore Races

    Young children not in school#

    Fourth graders not proficient in reading

    Eighth graders not proficient in math

    High school students notgraduating on time

    201014

    2015

    2015

    2012/13

    HEALTHNationalAverage

    AfricanAmerican

    AmericanIndian

    Asian andP acif ic I sland er Hisp anic

    Non-HispanicWhite

    Two orMore Races

    Low-birthweight babies

    Children without health insurance

    Child and teen deaths per 100,000

    Teens who abuse alcohol or drugs

    2014

    2014

    2014

    2014^

    FAMILY AND COMMUNITYNationalAverage

    AfricanAmerican

    AmericanIndian

    Asian andP acif ic I sland er Hisp anic

    Non-HispanicWhite

    Two orMore Races

    Children in single-parent families

    Children in families where the householdhead lacks a high school diploma

    Children living in high-poverty areas

    Teen births per 1,000

    2014

    2014

    201014

    2014

    22% 38% 36% 13% 32% 13% 22%

    30% 47% 48% 22% 35% 23% 35%

    35% 49% 32% 34% 46% 26% 37%

    7% 11% 13% 4% 9% 6% 8%

    53% 49% 57% 46% 60% 50% 52%

    65% 82%* 78%* 47%* 79% 54% 62%*

    68% 88%* 81%* 42%* 81% 58% 65%*

    18% 31%* 32%* 5%* 22% 14% N.A.

    8.0% 12.8% 7.6% 8.1% 7.1% 7.0% N.A.

    6% 5% 14% 6% 10% 5% 5%

    24 34 25 13 19 23 N.A.

    5% 4%* 5%* 2%*+ 6% 5% 3%*

    35% 66% 53% 17% 42% 25% 42%

    14% 13% 17% 11% 34% 6% 10%

    14% 32% 31% 8% 24% 5% 12%

    24 35 27 8 38 17 N.A.

    #Data are from 5-year ACS data and are not comparable to the national average using 3 years o f pooled 1-year ACS data. *Data are for non-Hispanics. N.A.Data not available.

    ^These are single-year race data for 2014. Data in index are 201314 multiye ar data. +Data results do not include Native Hawaiians/Pacific Islanders.

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    OVERA

    LLCHILDWE

    LL-BEING

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    18 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    National data mask a great deal of state-by-state and regional variations in childwell-being. A state-level examination of thedata reveals a hard truth: A childs chancesof thriving depend not just on individual,familial and community characteristics, butalso on the state in which she or he is bornand raised. States vary considerably in

    their amount of wealth and other resources.State policy choices also strongly influencechildrens chances for success.

    We derive a composite index of overallchild well-being for each state by combiningdata across the four domains: (1) EconomicWell-Being, (2) Education, (3) Healthand (4) Family and Community. Thesecomposite scores are then translated into asingle state ranking for child well-being.

    Minnesota ranked first among statesfor overall child well-being, followed byMassachusetts and Iowa. This is the

    second year in a row that Minnesota heldthe top spot that had been dominated byNew England states for several years. Thethree lowest-ranked states were Louisiana,New Mexico and Mississippi.

    The map on page 19 shows the distinctregional patterns that emerged fromthe state rankings. Northeastern statescomposed half of the top 10 in terms ofoverall child well-being; excluded wereMaine, Pennsylvania, Rhode Islandand New York. Most of the states in the

    Midwest and Mountain regions ranked inthe middle on overall child well-being, withthe exception of Minnesota, Iowa, NorthDakota, Nebraska and Utah, which were inthe top 10.

    States in the Southeast, Southwestand Appalachia where the poorest statesare located populated the bottom of the

    overall rankings. In fact, with the exceptionof California, the 15 lowest-ranked stateswere located in these regions. States in theSoutheast occupied three of the five lowestrankings for child well-being.

    Although they are not ranked againststates, children in the District of Columbiaand Puerto Rico experienced some of theworst outcomes on many of the indicatorswe track. When available, the data for theDistrict of Columbia and Puerto Rico areincluded in Appendix 2.

    As will be explored in the sections

    that follow, the overall rankings obscuresome important variations within states.Although most states rankings did not varydramatically across domains, there werea few exceptions. For example, Coloradoranked 12th in the Education and EconomicWell-Being domains, but placed 43rd in theHealth of its children. Wyoming ranked firstfor Economic Well-Being, but was amongthe worst three states for Health. For allstates, the index identifies bright spots androom for improvement.

    OVERALL CHILD WELL-BEING

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    19The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    Overall Rank: 2016

    1 Minnesota

    2 Massachusetts

    3 Iowa

    4 New Hampshire

    5 Connecticut6 Vermont

    7 New Jersey

    8 North Dakota

    9 Nebraska

    10 Utah

    11 Virginia

    12 Wyoming

    13 Wisconsin

    14 South Dakota

    15 Washington

    16 Maryland

    17 Maine

    18 Pennsylvania

    19 Kansas

    20 Colorado

    21 Illinois

    22 Idaho

    23 Hawaii

    24 Montana

    25 Delaware

    26 Ohio

    27 Rhode Island

    28 Missouri

    29 New York

    30 Indiana31 Michigan

    32 Oregon

    33 Alaska

    34 North Carolina

    35 Kentucky

    36 California

    37 Oklahoma

    38 Tennessee

    39 West Virginia

    40 Florida

    41 South Carolina

    42 Georgia

    43 Texas

    44 Arkansas

    45 Arizona

    46 Alabama

    47 Nevada

    48 Louisiana

    49 New Mexico

    50 Mississippi

    The map below illustrates how states ranked on overall child

    well-being by state. The overall rank is a composite index derived

    from the combined data across the four domains: (1) Economic

    Well-Being, (2) Education, (3) Health and (4) Family and Community.

    RANKINGS

    Overall Child Well-Being by State: 2016

    States ranked 113

    States ranked 1425

    States ranked 2637

    States ranked 3850

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    ECONOMICWELL-

    BEING

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    2The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    Economic Well-BeingDomain Rank: 2016

    To help children grow into successful, productive adults, their parents

    need well-paying jobs, affordable housing and the ability to invest in

    their childrens future. When parents are unemployed or earn low wages,

    they may struggle to meet their childrens most basic needs. Economic

    uncertainty also increases parental stress, which can compromise

    parenting.25The negative effects of poverty on children also increase

    the chances of poor outcomes for youth and young adults, such as teen

    pregnancy and failure to graduate from high school.26

    1 Wyoming

    2 North Dakota

    3 Minnesota

    4 Iowa

    5 Nebraska6 South Dakota

    7 New Hampshire

    8 Utah

    9 Kansas

    10 Vermont

    11 Massachusetts

    12 Colorado

    13 Wisconsin

    14 Idaho

    15 Virginia

    16 Connecticut

    17 Maryland

    18 Delaware19 Montana

    20 New Jersey

    21 Missouri

    22 Pennsylvania

    23 Maine

    24 Indiana

    25 Ohio

    26 Washington

    27 Illinois

    28 Michigan

    29 Oklahoma

    30 North Carolina31 West Virginia

    32 Hawaii

    33 Texas

    34 Rhode Island

    35 Alaska

    36 Arkansas

    37 South Carolina

    38 Kentucky

    39 Arizona

    40 Nevada

    41 Oregon

    42 Tennessee

    43 New York44 Florida

    45 Georgia

    46 Alabama

    47 California

    48 New Mexico

    49 Mississippi

    50 Louisiana

    A State-to-State Comparison of Economic Well-Being: 2016

    DOMAIN RANKINGS

    States ranked 113

    States ranked 1425

    States ranked 2637

    States ranked 3850

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    ECONOMIC WELL-BEINGECONOMIC WELL-BEING

    22 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    Having access to secure employment cancontribute to the financial stability andwell-being of families. Unfortunately, toomany parents lack the education and skillsneeded to secure a good full-time job andare forced to piece together part-time ortemporary work that does not providesufficient or stable income. Even a full-time

    job at a low wage does not necessarily lifta family out of poverty. Without access tobenefits and tax credits, a single parentwith two children would need to earn$9.54 per hour $2.29 more than thecurrent federal minimum wage working40 hours per week for 50 weeks per year

    just to reach the poverty level.

    Children whose parents

    lack secure employmentChildren in poverty

    Growing up in poverty is one of the greatestthreats to healthy child development. Thechild poverty rate in the United Statesincreased dramatically as a result of theeconomic crisis and has yet to return topre-recession levels. The official povertylevel in 2014 was $24,008 for a family of twoadults and two children. Poverty can impede

    cognitive development and a childs abilityto learn. It can also contribute to behavioral,social and emotional problems and can leadto poor health outcomes. The risks posedby economic hardship are greatest amongchildren who experience poverty when theyare young and among those who experiencepersistent and deep poverty.27

    In 2014, three in 10 children (22.1 million)lived in families where no parent had full-time,year-round employment. The rate of parentswithout secure employment has steadilydeclined since 2010. Despite this positive trend,many families are still struggling economically,with more children living in poverty in 2014than during the recent recession.

    At 20 percent, Utah had the lowestpercentage of children in families withoutsecure parental employment in 2014.Mississippi, New Mexico and West Virginiahad the highest rate (36 percent).

    Roughly half of all American Indianchildren (48 percent) and African-Americanchildren (47 percent) had no parent withfull-time, year-round employment in 2014,compared with 35 percent of Latino andmultiracial children, 23 percent of non-Hispanic white children and 22 percent ofAsian and Pacific Islander children.

    Nationally, 22 percent of children(15.7 million) lived in families with incomesbelow the poverty line in 2014, up from18 percent (13.2 million) in 2008, representingnearly 2.5 million more children in povert y.After climbing for several years, the childpoverty rate dropped between 2012 and 2013and remained unchanged in 2014.

    The rate of child poverty for 2014 rangedfrom a low of 13 percent in Maryland, NewHampshire, Utah and Wyoming, to a high of30 percent in New Mexico.

    The child poverty rates among AfricanAmericans (38 percent) and AmericanIndians (36 percent) were nearly three timesthe rate for non-Hispanic whites (13 percent)in 2014. The rate for Hispanics (32 percent)was also significantly higher.

    DATA HIGHLIGHTS DATA HIGHLIGHTS

    SOURCE U.S. Census Bureau, 20082014 American Community Surveys.

    2008 2009 2010 2011 2012 2013 2014

    27%

    2008

    18%2008

    30%

    2014

    22%

    2014

    Parents Lack Secure EmploymentChild Poverty

    PERCENTAGE OF CHILDREN WHOSE PARENTSLACK SECURE EMPLOYMENT AND PERCENTAGEOF CHILDREN LIVING IN POVERTY: 20082014

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    ECONOMIC WELL-BEING ECONOMIC WELL-BEING

    23The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    Teens not in school

    and not working

    Children living inhouseholds with a high

    housing cost burden

    Family income is only one component offinancial security; the cost of basic expensesalso matters. Housing is typically one ofthe largest expenses that families face.This measure identifies the proportion ofchildren living in households that spendmore than 30 percent of their pretax incomeon housing, whether they are renters or

    homeowners. Low-income families, inparticular, are more likely to experience ahousing affordability problem. Paying highhousing costs limits the resources they havefor other necessities like food, health care,transportation and child care.28

    Teens ages 16 to 19 who are not in schooland who are not part of the workforce(sometimes referred to as opportunityor disconnected youth) are at high riskof experiencing negative outcomes as theytransition to adulthood. These youthmay have difficulty gaining the skillsand knowledge needed to become self-

    sufficient. Their limited skills and workhistory restrict future higher wages andemployability.29While those individualswho have dropped out of school are clearlyvulnerable, many young people who havefinished school but are not working arealso at a disadvantage in terms of achievingeconomic success in adulthood.

    Across the nation, 35 percent of children(25.7 million) lived in households with ahigh housing cost burden in 2014, comparedwith 39 percent (29.2 million) in 2008. Therate of families with disproportionately highhousing costs has increased dramaticallysince 1990. It peaked in 2010, at the heightof the recent housing crisis, when 41 percentof children lived in families with a highhousing cost burden. The rate has steadilydeclined since then.

    At 47 percent, California had the highestrate of children living in households that

    spent more than 30 percent of income onhousing in 2014. North Dakota had thelowest, at 17 percent.

    Roughly half of African-Americanchildren (49 percent) and Hispanic children(46 percent) lived in households with a highhousing cost burden in 2014, compared with26 percent of non-Hispanic white children.

    Nationally, 7 percent of youth weredisconnected from both work and school in2014. About 1.3 million teens between theages of 16 and 19 were neither enrolled inschool nor employed.

    At 4 percent, Minnesota and Wyominghad the lowest rate of teens not in school andnot working in 2014. In contrast, Alaska andLouisiana had the highest rate, at 11 percent.

    American Indian, African-American,Latino and multiracial teens had considerablyhigher rates of neither being in school nor

    working than their non-Hispanic white andAsian and Pacific Islander counterparts.

    DATA HIGHLIGHTS DATA HIGHLIGHTS

    PERCENTAGE OF TEENS NOT IN SCHOOLAND NOT WORKING: 2014

    SOURCE U.S. Census Bureau, 2014 American Community Survey.

    National Average

    African American

    American Indian

    Asian andPacific Islander

    Hispanic

    Non-Hispanic White

    Two or More Races

    7%

    11%

    13%

    4%

    9%

    6%

    8%

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    EDUCATION

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    25The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    Establishing the conditions that promote successful educational

    achievement for children begins with quality prenatal care and

    continues into the early elementary school years. With a strong

    and healthy beginning, children can more easily stay on track to

    remain in school and graduate, pursue postsecondary education

    and training and successfully transition to adulthood. Yet the

    United States continues to have significant gaps in educational

    achievement by race and income.30Addressing the achievement

    gap will be key to our future workforce competing on a global scale.

    EducationDomain Rank: 2016

    1 Massachusetts

    2 New Jersey

    3 Connecticut

    4 New Hampshire

    5 Vermont6 Minnesota

    7 Wisconsin

    8 Nebraska

    9 Virginia

    10 Pennsylvania

    11 Iowa

    12 Colorado

    13 Maryland

    14 North Dakota

    15 Maine

    16 Illinois

    17 Ohio

    18 Wyoming19 New York

    20 Kansas

    21 Utah

    22 Washington

    23 Indiana

    24 Montana

    25 Rhode Island

    26 Missouri

    27 Kentucky

    28 North Carolina

    29 Delaware

    30 Florida31 South Dakota

    32 Texas

    33 Hawaii

    34 Oregon

    35 California

    36 Tennessee

    37 Idaho

    38 Arkansas

    39 Georgia

    40 Michigan

    41 Alaska

    42 Oklahoma

    43 South Carolina

    44 Arizona

    45 Louisiana

    46 West Virginia

    47 Mississippi

    48 Alabama

    49 Nevada

    50 New Mexico

    A State-to-State Comparison of Education: 2016

    DOMAIN RANKINGS

    States ranked 113

    States ranked 1425

    States ranked 2637

    States ranked 3850

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    EDUCATION EDUCATION

    26 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    Fourth graders not

    proficient in readingYoung children not in school

    The foundation of brain architecture andsubsequent lifelong developmental potentialare laid down in a childs early years.31High-quality prekindergarten programs for3- and 4-year-olds play an important rolein preparing children for success and leadto higher levels of educational attainment,career advancement and earnings. Although

    Head Start and the expansion of state-funded programs since the 1990s havegreatly increased access to preschool andkindergarten,32many children, especially3-year-olds, continue to be left out,exacerbating socioeconomic differences ineducational achievement.

    Proficiency in reading by the end of thirdgrade is a crucial marker in a childseducational development. By fourth grade,children use reading to learn other subjects.Therefore, mastery of reading is criticalfor them to keep up academically. Childrenwho reach fourth grade without beingable to read proficiently are more likely

    to disengage and drop out of school. Lowreading proficiency also reduces theirearning potential and chances for careersuccess as adults.33Although improvementsin reading proficiency have occurred sincethe early 1990s, progress has been slow,and gaps remain.

    During 201214, 4.4 million 3- and 4-year-olds were not in school, representing morethan half (53 percent) of all children inthat age group. The rate of attendance hasremained virtually unchanged since 200709,when 52 percent of 3- and 4-year-olds didnot participate in any school programs.

    In 201214, Connecticut and New Jersey,at 34 percent and 36 percent, respectively,had the lowest shares of 3- and 4-year-oldsnot in school. The states with the highestpercentages of young children not in schoolin 201214 were Idaho (69 percent) and

    Nevada (68 percent).

    Roughly half of African-American, non-Hispanic white and multiracial 3- and 4-year-olds were not in any school programs; thepercentage was nearly the same for Asian andPacific Islander children (46 percent). Therates were noticeably higher for Latinos (60percent) and American Indians (57 percent).

    An alarming 65 percent of fourth gradersin public school were reading below theproficient level in 2015, a slight improvementfrom 2007, when the figure was 68 percent.

    State differences in fourth-gradereading levels among public school studentswere wide. In 2015, Massachusetts hadthe lowest percentage of public schoolfourth graders not proficient in reading,50 percent, compared with a high of77 percent in New Mexico.

    In 2015, 82 percent of African-American,

    79 percent of Latino, 78 percent of AmericanIndian and 62 percent of multiracial fourthgraders were not proficient in reading,compared with 54 percent of non-Hispanicwhites and 47 percent of Asian and PacificIslanders. Although these figures are deeplytroubling, fourth-grade reading levels haveimproved since 2007 for all groups.

    DATA HIGHLIGHTS DATA HIGHLIGHTS

    *Data are for non-Hispanics.

    SOURCE U.S. Department of Education, National Center for Education

    Statistics, 2015 National Assessment of Educational Progress.

    National Average

    African American*

    American Indian*

    Asian andPacific Islander*

    Hispanic

    Non-Hispanic White

    Two or More Races*

    65%

    82%

    78%

    47%

    79%

    54%

    62%

    PERCENTAGE OF 4TH GRADERS WHO SCOREDBELOW PROFICIENT IN READING: 2015

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    EDUCATION EDUCATION

    27The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    High school students

    not graduating on time

    Eighth graders not

    proficient in math

    Competence in mathematics is essential forsuccess in the workplace, which increasinglyrequires higher-level technical skills.Students who take advanced math andscience courses are more likely to graduatefrom high school, attend and complete collegeand earn higher incomes.34Even for youngpeople who do not attend college, basic

    math skills help with everyday functioningand improve employability. Ensuring thatchildren have early access to high-qualitymathematics education is critical for theirsuccess in both school and life.

    Students who graduate from high schoolon time are more likely to pursuepostsecondary education and training;they are more employable and havehigher incomes than students who fail tograduate.35In 2014, median annual earningsfor someone without a high school diploma($20,500) were 74 percent of those of a high

    school graduate ($27,800) and 41 percentof the median earnings of someone with abachelors degree ($50,500).36High schoolgraduates have better health outcomes,make healthier choices and are less likelyto engage in risky behavior.37

    Nationwide, more than two-thirds(68 percent) of public school eighthgraders were not proficient in math in 2015.Although this is a slight improvement fromthe 2007 rate of 69 percent, the rate waslower in 2013 (66 percent).

    At 49 percent, Massachusetts had thelowest percentage of eighth graders notproficient in math in 2015. Alabama had thehighest rate, at 83 percent. Massachusettswas the only state in which more than half ofeighth graders were proficient in math.

    In 2015, 58 percent of non-Hispanic whiteeighth graders were below the proficientlevel, compared with 88 percent of AfricanAmericans and 81 percent of both Latinosand American Indians. But eighth-grademath achievement improved for all racial andethnic groups from 2007 to 2015, includingimprovements of 9 percentage points for Asianand Pacific Islanders and 4 points for Latinos.

    Nationally, about one in five (18 percent)high school students did not graduateon time in the 2012/13 school year.Steady improvements have occurredsince 2007/08, when 25 percent did notgraduate in four years.

    Among the states, the percentage ofhigh school students not graduating fromhigh school in four years ranged from alow of 7 percent in Nebraska and Wisconsin,to a high of 33 percent in Nevada.

    In 2012/13, 14 percent of non-Hispanic

    white students did not graduate fromhigh school on time. The rates for African-American and American Indian studentswere more than twice as high.

    DATA HIGHLIGHTS DATA HIGHLIGHTS

    MEDIAN EARNINGS BY EDUCATIONALATTAINMENT: 2014

    SOURCE U.S. Census Bureau, 2014 American Community Survey.

    NO HIGHSCHOOL DIPLOMA

    $20,500

    HIGH SCHOOLDIPLOMA

    $27,800

    BACHELORSDEGREE

    $50,500

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    HEALTH

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    29The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    Childrens health is the foundation of their overall development,

    and ensuring that they are born healthy is the first step toward

    increasing the life chances of disadvantaged children. Poverty, poor

    nutrition, lack of preventive health care, substance abuse, maternal

    depression and family violence put childrens health at risk. Poor

    health in childhood impacts other critical aspects of a childs life,

    such as school readiness and attendance, and can have lasting

    consequences on his or her future health and well-being.

    HealthDomain Rank: 2016

    1 Minnesota

    2 Connecticut

    3 Iowa

    4 Massachusetts

    5 Washington6 Rhode Island

    7 New York

    8 Hawaii

    9 Illinois

    10 Vermont

    11 California

    12 New Jersey

    13 Pennsylvania

    14 Michigan

    15 Virginia

    16 Kentucky

    17 North Dakota

    18 Delaware19 Ohio

    20 Maine

    21 Nebraska

    22 Maryland

    23 Oregon

    24 Kansas

    25 New Hampshire

    26 South Dakota

    27 Utah

    28 Tennessee

    29 Wisconsin

    30 Idaho31 Indiana

    32 Missouri

    33 North Carolina

    34 Oklahoma

    35 Alaska

    36 Georgia

    37 South Carolina

    38 Texas

    39 Montana

    40 Nevada

    41 West Virginia

    42 Alabama

    43 Colorado

    44 New Mexico

    45 Arizona

    46 Arkansas

    47 Florida

    48 Wyoming

    49 Mississippi

    50 Louisiana

    A State-to-State Comparison of Health: 2016

    DOMAIN RANKINGS

    States ranked 113

    States ranked 1425

    States ranked 2637

    States ranked 3850

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    HEALTH HEALTH

    30 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    Babies born with a low birthweight (lessthan 5.5 pounds) have a high probabilityof experiencing developmental problemsand short- and long-term disabilities.They are also at a greater risk of dyingwithin the first year of life. Increases inmultiple births during the past two decadeshave contributed to the rise in rates of

    low-birthweight babies. Among singlebirths, smoking, poor nutrition, poverty,stress, infections and violence can increasethe risk of a baby being born with a lowbirthweight.38Compared with other affluentcountries, the United States has amongthe highest percentages of babies bornwith a low birthweight.39

    Children without health insurance coverageare less likely than insured children to havea regular health care provider and to receivecare when they need it. They are also morelikely to begin receiving treatment aftertheir condition has worsened, putting themat greater risk of hospitalization. Althoughthe provision of employer-sponsored health

    insurance is declining, and most low-wage andpart-time workers lack employer coverage,public health insurance has resulted inincreased coverage among children duringthe past decade. Having health insurance canprotect families from financial devastationwhen a child experiences a serious or chronicillness and can help children remain healthy,active and in school.

    Children without

    health insuranceLow-birthweight babies

    Nationally, low-birthweight babiesrepresented 8.0 percent of all live birthsin 2014. After gradually increasing overtime, the percentage of low-birthweightbabies has remained relatively stablefor the past several years and is now slightlybelow the four-decade high of 8.3 percentreached in 2006.40

    Alaska had the lowest percentage oflow-birthweight babies in 2014 5.9 percentof live births while Mississippi hadthe highest, 11.3 percent.

    Among racial and ethnic groups, African-American babies were most likely to be bornwith a low birthweight, 12.8 percent of livebirths in 2014. Although this represents adecline from 13.4 percent in 2008, it is stillclose to twice the low-birthweight rates forLatinos (7.1 percent) and for non-Hispanicwhites (7.0 percent).

    Across the nation, 6 percent of children(4.4 million) lacked health insurance in 2014.That is a 40 percent improvement from 2008,when 10 percent of children were uninsured.

    In 29 states, the District of Columbiaand Puerto Rico, the percentage of childrenwithout health coverage was 5 percent orless in 2014. Massachusetts and Vermonthad the lowest rate, 2 percent, comparedwith a high of 11 percent in Alaska and Texas.

    Although the likelihood of beinguninsured has declined for all racial groups,

    American Indian (14 percent) and Latino(10 percent) children were far more likelyto be uninsured than their Asian and PacificIslander (6 percent), African-American(5 percent), multiracial (5 percent) andnon-Hispanic white (5 percent) peers.

    DATA HIGHLIGHTS DATA HIGHLIGHTS

    SOURCE U.S. Census Bureau, 2008 and 2014 AmericanCommunity Surveys.

    PERCENTAGE OF CHILDREN WITHOUT HEALTHINSURANCE: 2008 AND 2014

    Massachusetts

    2%2008

    Massachusetts and Vermont2014

    2%

    Best rateRates at or below 5%

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    HEALTH HEALTH

    3The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    Teens who abuse

    alcohol or drugsChild and teen deaths

    The child and teen death rate (deaths per100,000 children ages 1 to 19) reflects abroad array of factors: physical and mentalhealth; access to health care; communityfactors (such as violence and environmentaltoxins); use of safety practices; and,especially for younger children, the level ofadult supervision. Accidents, primarily those

    involving motor vehicles, were the leadingcause of death for children and youth,accounting for 30 percent of all deathsamong children ages 1 to 14.41As childrenmove into their mid- and late-teenage years,they encounter new risks that can be deadly.In 2014, accidents, homicides and suicidesaccounted for 73 percent of deaths to teensages 15 to 19.42

    Abuse of alcohol and drugs can negativelyimpact cognitive growth of the teenagebrain during a critical time of development.43Abuse of these substances by teens is linkedto such harmful behaviors as engagingin risky sexual activity, driving under theinfluence, abusing multiple substances andcommitting crimes. Alcohol and drug abuse

    are also linked to short- and long-termphysical and mental health problems, pooracademic performance and an increasedrisk of dropping out of school. The negativeconsequences of teen alcohol and drugabuse can carry over into adulthood. Overall,alcohol and drug use by adolescents havedeclined during the past decade, althoughpatterns vary by substance.

    In 2014, 18,666 children and youth ages1 to 19 died in the United States, whichtranslates into a mortality rate of 24 per100,000 children and teens. The ratedeclined dramatically from 1990, when itwas 46 per 100,000, resulting in roughly12,412 fewer deaths in 2014.

    Connecticut and Rhode Island had thelowest rate, 15 deaths per 100,000 childrenand youth in 2014. Mississippi fell at theother end of the spectrum, with a childand teen death rate of 39 per 100,000.

    The 2014 mortality rate for African-American children and teens (34 per100,000) was noticeably higher than thedeath rates for children and youth of otherracial and ethnic groups.

    In 201314, 5 percent of teens ages12 to 17 had abused or were dependenton alcohol or drugs during the past year,declining from 8 percent in 200708.

    There is little variability in thesubstance abuse rates across states.Rates range from a low of 4 percent inIowa, Kentucky, Minnesota and Oklahomato a high of 6 percent in 16 states andthe District of Columbia.

    Among racial and ethnic groups, Asianteens were the least likely (2 percent) to

    abuse or be dependent on alcohol or drugs.

    DATA HIGHLIGHTS DATA HIGHLIGHTS

    TEEN SUICIDE RATES (PER 100,000 YOUTHAGES 1519): 20002014

    2000 2002 2004 2006 2008 2010 2012 2

    4.22014

    13.02014

    10.82007

    2.42007

    SOURCE Centers for Disease Control and Prevention, National Centerfor Health Statistics, 20002014 Vital Statistics.

    MalesFemales

    2.72000

    13.02000

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    FAMILYANDCOMM

    UNITY

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    33The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    Children who live in nurturing families and are part of supportive

    communities have better social-emotional and learning outcomes.

    Parents struggling with financial hardship are more prone to stress

    and depression, which can interfere with effective parenting. These

    findings underscore the importance of two-generation strategies

    that strengthen families by mitigating their underlying economic

    distress, while addressing the well-being of children. Where families

    live also matters. When communities have strong institutions and

    the resources to provide safety, good schools and quality support

    services, families and their children are more likely to thrive.

    Family and CommunityDomain Rank: 2016

    1 New Hampshire

    2 Utah

    3 Vermont

    4 Minnesota

    5 Iowa6 North Dakota

    7 Wyoming

    8 Massachusetts

    9 Maine

    10 Virginia

    11 Connecticut

    12 Hawaii

    13 Idaho

    14 New Jersey

    15 Montana

    16 Alaska

    17 Washington

    18 Wisconsin19 South Dakota

    20 Maryland

    21 Nebraska

    22 Colorado

    23 Oregon

    24 Kansas

    25 Pennsylvania

    26 Missouri

    27 Illinois

    28 Delaware

    29 Michigan

    30 Rhode Island31 Ohio

    32 Indiana

    33 West Virginia

    34 New York

    35 Florida

    36 North Carolina

    37 Kentucky

    38 Oklahoma

    39 Tennessee

    40 Georgia

    41 California

    42 South Carolina

    43 Alabama

    44 Nevada

    45 Arkansas

    46 Arizona

    47 Texas

    48 Louisiana

    49 New Mexico

    50 Mississippi

    A State-to-State Comparison of Family and Community: 2016

    DOMAIN RANKINGS

    States ranked 113

    States ranked 1425

    States ranked 2637

    States ranked 3850

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    FAMILY AND COMMUNITY FAMILY AND COMMUNITY

    34 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    Children growing up in single-parent familiestypically have access to fewer economicor emotional resources than children intwo-parent families. In 2014, 36 percent ofsingle-parent families had incomes belowthe poverty line, compared with 8 percent ofmarried couples with children.44Comparedwith children in married-couple families,

    children raised in female-headed householdsare more likely to drop out of school, to haveor cause a teen pregnancy and to experiencea divorce in adulthood.45Nearly one infour of the 24.7 million children living withan unmarried parent in 2014 was living withcohabiting domestic partners, comparedwith only 16 percent in 1990.

    Higher levels of parental education arestrongly associated with better outcomesfor children, including higher educationalachievement. Children growing up withparents who have not graduated fromhigh school have fewer socioeconomicadvantages. They are at greater risk of beingborn with a low birthweight, having health

    problems, entering school not ready to learnand having poor educational outcomes.46More highly educated parents are betterable to provide their children with economicstability and security, which enhanceschild development. During the past severaldecades, parental education levels havesteadily increased.

    Children in families wherethe household head lacks

    a high school diploma

    Children in single-parent

    families

    The percentage of children living insingle-parent families rose from 32 percentin 2008 to 35 percent in 2014, representingan increase of 2 million children.

    At the state level, the percentage ofchildren living in single-parent familiesin 2014 ranged from a low of 19 percent inUtah, to a high of 47 percent in Louisianaand Mississippi.

    Two-thirds (66 percent) of African-American children, more than half (53percent) of American Indian children and

    42 percent of both Latino and multiracialchildren lived in single-parent families in2014. By comparison, 25 percent of non-Hispanic white children and 17 percent ofAsian and Pacific Islander children lived insingle-parent households.

    In 2014, 14 percent of children lived inhouseholds headed by an adult without ahigh school diploma. While the indicatorimproved only slightly since 2008, therehas been substantial improvement since1990, when 22 percent of children lived withparents who lacked a high school diploma.47

    In Vermont, only 4 percent of childrenlived in families not headed by a high schoolgraduate, the lowest rate in the country.At 23 percent, California had the highest.

    More than one-third (34 percent) of

    Latino children lived in households headedby someone without a high school diploma.That is more than two and a half timesthe rate for African-American children(13 percent) and nearly six times the ratefor non-Hispanic white children (6 percent).

    DATA HIGHLIGHTS DATA HIGHLIGHTS

    MEDIAN FAMILY INCOME BY FAMILY HEAD'SEDUCATIONAL ATTAINMENT: 2014

    SOURCE U.S. Census Bureau, 2014 American Community Survey,

    1-year PUMS.

    NOHIGH

    SCHOOLDIPLOMA

    $29,000

    HIGHSCHOOL

    DIPLOMAORGED

    $47,500

    ASSOCIATE

    DEGREE

    $64,500

    BACHELOR'S

    DEGREE

    $100,800

    GRADUATE

    DEGREE

    $126,100

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    FAMILY AND COMMUNITY FAMILY AND COMMUNITY

    35The Annie E. Casey Foundation | www.aecf.orgSTATE TRENDS IN CHILD WELL-BEING

    Concentrated poverty puts wholeneighborhoods at risk. High-povertyneighborhoods are much more likely thanmoderate- and upper-income communitiesto have worse health outcomes, higher crimerates and violence, inadequate schoolsand limited access to job opportunities.Concentrated neighborhood poverty

    negatively affects all children living in thearea not only poor children, but also thosewho are economically better off.48High-poverty areas are defined here as censustracts where the poverty rates for the totalpopulation are 30 percent or more.

    Teenage childbearing can have long-termnegative effects for both the mother and thenewborn. Teens are at higher risk of bearinglow-birthweight and preterm babies. And,their babies are far more likely to be borninto families with limited educational andeconomic resources, which function asbarriers to future success.50Children born

    to teen mothers tend to have pooreracademic and behavioral outcomes and aremore likely to engage in sexual activity andbecome teen mothers themselves. Althoughcurrently at a historic low, the teen birthrate in the United States remains the highestamong all affluent countries.51

    Teen births

    Children living in

    high-poverty areas

    During the period from 2010 through 2014,14 percent of children lived in high-povertyareas nationwide, a total of 10.3 millionchildren. Between 1990 and 2000, thelikelihood that a child would grow up in anarea of concentrated poverty declined from11 percent to 9 percent.49The rate increasedover the next decade, with the biggestincreases occurring after the recession.

    Variation among the states was wide:Only 1 percent of children in Wyoming livedin areas of concentrated poverty, while27 percent of Mississippis children lived in

    high-poverty areas.

    African-American (32 percent),American Indian (31 percent) and Latino(24 percent) children were much morelikely to live in high-poverty areas than theirmultiracial (12 percent), Asian and PacificIslander (8 percent) and non-HispanicWhite (5 percent) counterparts.

    In 2014, there were 249,078 babiesborn to females ages 15 to 19. That translatesinto a birth rate of 24 births per 1,000 teens,which is less than half the rate in 1990, 60births per 1,000 teens.52

    Among the states, the teen birth ratefor 2014 ranged from a low of 11 births per1,000 teens ages 15 to 19 in Massachusettsand New Hampshire, to a high of 40 birthsper 1,000 in Arkansas.

    At 38 births per 1,000 15- to 19-year-oldgirls, the teen birth rate for Latinas was

    the highest across major racial and ethnicgroups, followed closely by the rate forAfrican Americans (35 per 1,000). Althoughit remained high, the 2014 teen birth rate wasthe lowest rate on record for both groups.53

    DATA HIGHLIGHTS DATA HIGHLIGHTS

    TEEN BIRTHS PER 1,000 FEMALES: 2008 AND 2014

    SOURCE Centers for Disease Control and Prevention, National Center

    for Health Statistics, 2008 and 2014 Vital Statistics.

    National Average

    African American

    American Indian

    Asian andPacific Islander

    Hispanic

    Non-Hispanic White

    40

    24

    60

    35

    14

    8

    47

    27

    70

    38

    26

    17

    2008 2014

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    36 The Annie E. Casey Foundation | www.aecf.org 2016 kids count data book

    ENDNOTES

    1. Scher, B. (2015, December 4).Bush vs. Obama on the economy,in 3 simple charts [updated].

    Washington, DC: Campaign forAmericas Future. Retrieved fromhttps://ourfuture.org/20141208/bush-vs-obama-on-the-economy-in-3-simple-charts

    2. Cha, A. E. (2016, April 28).een birth rate hits al l-time low,led by 50 percent decline amongHispanics and blacks. Chicagoribune. Retrieved from

    www.chicagotribune.com/news/nationworld/ct-teen-birth-rate-all-time-low-20160428-story.html

    3.Te Annie E. Casey Foundation,KIDS COUN Data Center.Children in poverty (100 percentpoverty)(able). Retrieved fromhttp://datacenter.kidscount.org/data/tables/43-children-in-poverty-100-percent-poverty?loc=1&loct=1#detailed/1/any/false/869,36,868,867,133/any/321,322

    4. Te 2014 poverty data fora family of two adults and twochildren are from U.S. CensusBureaus official poverty measure:Poverty thresholds for 2014 by sizeof family and number of relatedchildren under 18 years(able).Retrieved fromwww.census.gov/

    hhes/www/poverty/data/threshld

    5. Gould, E., Cooke, ., & Kimball,W. (2015, August 26). What familiesneed to get by: EPIs 2015 FamilyBudget Calculator(Issue Brief No.403). Washington, DC: EconomicPolicy Institute. Retrievedfromwww.epi.org/publication/

    what-families-need-to-get-by-epis-2015-family-budget-calculator

    6. Te Annie E. Casey Foundation,KIDS COUN Data Center.Children below 200 percent poverty(able). Retrieved from http://datacenter.kidscount.org/data/tables/47-children-below-200-percent-

    poverty?loc=1&loct=1#detailed/1/any/false/869,36,868,867,133/any/329,330

    7.Te Annie E. Casey Foundation,KIDS COUN Data Center.

    Children whose parents lack secureemployment(able). Retrieved fromhttp://datacenter.kidscount.org/data/tables/5043-children-whose-parents-lack-secure-employment?loc=1&loct=1#detailed/1/any/false/869,36,868,867,133/any/11452,11453

    8. U.S. Department of Labor,Bureau of Labor Statistics. Laborforce statistics from the CurrentPopulation Survey: Of totalunemployed, percent unemployed27 weeks & over(able). RetrievedMay 7, 2016, from http://data.bls.gov/timeseries/LNS13025703

    9. U.S. Department of Labor,

    Bureau of Labor Statistics. Laborforce statistics from the CurrentPopulation Survey: Labor forceparticipation rate(able). RetrievedMay 7, 2016, from http://data.bls.gov/timeseries/LNS11300000

    10. Cauthen, N. K., Case, A.,& Wilhelm, S. (2015, September).Promoting security in a 21st centurylabor market: Addressing intermittentunemployment in nonstandardwork. Washington, DC: FamilyValues @ Work. Retrieved fromhttp://familyvaluesatwork.org/wp-content/uploads/2015/05/nonstandard_work_final-1.pdf

    11. National Employment LawProject. (2014, April). Te low-wagerecovery: Industry employment andwages four years into the recovery(Data Brief). New York, NY: Author.Retrieved fromwww.nelp.org/content/uploads/2015/03/Low-Wage-Recovery-Industry-Employment-Wages-2014-Report.pdf

    12. Cauthen, N. K., Case, A., &Wilhelm, S. (2015, September).

    13. Te Pew Charitable rusts.(2016, March 30). Householdexpenditures and income(IssueBrief). Retrieved fromwww.pewtrusts.org/en/research-and-analysis/issue-briefs/2016/03/

    household-expenditures-and-income

    14. Bivens, J., Gould, E., Mishel,L., & Shierholz, H. (2014, June 4).

    Raising Americas pay: Why its ourcentral economic policy challenge(Briefing Paper No. 378).Washington, DC: EconomicPolicy Institute. Retrievedfromwww.epi.org/publication/raising-americas-pay

    15. Putnam, R. D. (2015). Ourkids: Te American Dream in crisis.New York, NY: Simon & Schuster.

    16. Kroeger, ., Cooke, ., &Gould, E. (2016, April 21). Teclass of 2016: Te labor market isstill far from ideal for young graduates(Report). Washington, DC:Economic Policy Institute.Retrieved fromwww.epi.org/

    publication/class-of-2016/#epi-toc-10

    17.Kroeger, ., Cooke, ., &Gould, E. (2016, April 21).

    18. Orozco, V., & Cauthen, N. K.(2009, September). Work less, studymore, & succeed: How financialsupports can improve postsecondarysuccess. New York, NY: Dmos.Retrieved fromwww.demos.org/sites/default/files/publications/WorkLessStudyMore_Demos.pdf

    19. Putnam, R. D. (2015).

    20. Kroeger, ., Cooke, ., &Gould, E. (2016, April 21).

    21. AEI/Brookings Working Groupon Poverty and Opportunity.(2015). Opportunity, responsibility,and security: A consensus plan forreducing poverty and restoring theAmerican Dream. Washington,DC: American Enterprise Institutefor Public Policy Research and theBrookings Institution. Retrievedfromwww.aei.org/wp-content/uploads/2015/12/opportunity_responsibility_security_doar_strain_120315_FINAL.pdf

    22. Te Saguaro Seminar. (2016).Closing the opportunity gap(Report).Cambridge, MA: Harvard KennedySchool. Retrieved fromhttp://theopportunitygap.com/wp-content/uploads/2016/04/april25.pdf

    23. U.S. Department of Labor,Bureau of Labor Statist ics. (2016,

    April). Employment status of thecivilian noninstitutional population,1944 to date(able). Retrieved fromhttp://stats.bls.gov/cps/cpsaat01.pdf.And, U.S. Department of Labor,Bureau of Labor Statist ics. (2016,April). Labor force statistics from theCurrent Population Survey, unem-ployment rate(able). Retrievedfrom http://data.bls.gov/timeseries/LNS14000000

    24. Te Annie E. Casey Foundation.(2014). Race for Results: Building apath to opportunity for all children(KIDS COUN Policy Report).Baltimore, MD: Author. Retrievedfromwww.aecf.org/race4results

    25. Yeung, W. J., Linver, M. R., &Brooks-Gunn, J. (2002, November/December). How money mattersfor young chi ldrens development:Parental investment and familyprocesses. Child Development, 73(6),18611879.

    26. For a summary of this literature,see Gershoff, E. ., Aber, J. L., &Raver, C. C. (2003). Child povertyin the U.S.: An evidence-basedconceptual framework for programsand policies. In R. M. Lerner,F. Jacobs, & D. Wertlieb (Eds.),Promoting positive child, adolescentand family development: A handbookof program and policy innovations

    (pp. 81136). Tousand Oaks, CA:Sage Publications.

    27. Gershoff, E. ., Aber, J. L., &Raver, C. C. (2003).

    28. Viveiros, J., & Sturtevant, L.(2014, February). Housing landscape2014: Te housing affordabilitychallenges of Americas working house-holds. Washington, DC: Centerfor Housing Policy. Retrievedfrom http://media.wix.com/ugd/19cfbe_43635cdd41214c659797cd6ba1863792.pdf

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