US Maps: Compare National Performance and Outcome Measures Across States

The US state maps below compare each state’s performance to the national average on National Performance Measures (NPMs) and National Outcome Measures (NOMs) from the National Survey of Children's Health (NSCH) and other surveys. Statistical tests for state-by-state comparisons require additional analysis. Click here to request a NSCH data set.

Citation: Child and Adolescent Health Measurement Initiative. "[National Performance Measure/National Outcome Measure Name] State Comparison Map."[Year and name of survey]. Data Resource Center for Child and Adolescent Health supported by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). Retrieved [mm/dd/yy] from [www.childhealthdata.org].

The significance of differences between state and national prevalence was assessed using a nested t-test at p<0.05.

To start, click on any measure below.

2020-2021 National Survey of Children’s Health (two years combined)
*2021 Behavioral Risk Factor Surveillance System and ^American Community Survey

2019-2020 National Survey of Children’s Health (two years combined)
*2020 Behavioral Risk Factor Surveillance System and ^American Community Survey

Note: Maps for the following measures are not available: (1) NPM 6: Developmental screening - estimates for more than 50% of states have a 95% confidence interval width exceeding 20 percentage points or 1.2 times the estimate and may not be reliable, and (2) NOM 21: Uninsured - The U.S. Census Bureau did not release standard 1-year estimates due to the COVID-19 pandemic. https://www.census.gov/programs-surveys/acs/technical-documentation/user-notes/2021-02.htm

2018-2019 National Survey of Children’s Health (two years combined)
*2019 Behavioral Risk Factor Surveillance System and ^American Community Survey

Note: Maps for the following measures are not available because estimates for more than 50% of states have a 95% confidence interval width exceeding 20 percentage points or 1.2 times the estimate and may not be reliable: NPM 6: Developmental screening and NOM 18: Mental health treatment or counseling. These measures link to the across-state estimate tables on the DRC’s Interactive Data Query.

2017-2018 National Survey of Children’s Health (two years combined)
*2018 Behavioral Risk Factor Surveillance System and ^American Community Survey

Note: Maps for the following measures are not available because estimates for more than 50% of states have a 95% confidence interval width exceeding 20 percentage points or 1.2 times the estimate and may not be reliable: NPM 6: Developmental screening and NOM 18: Mental health treatment or counseling. These measures link to the across-state estimate tables on the DRC’s Interactive Data Query.

2016-2017 National Survey of Children’s Health (two years combined)
*2017 Behavioral Risk Factor Surveillance System and ^American Community Survey

Note: Maps for the following measures are not available because estimates for more than 50% of states have a 95% confidence interval width exceeding 20 percentage points or 1.2 times the estimate and may not be reliable: NPM 6: Developmental screening and NOM 18: Mental health treatment or counseling. These measures link to the across-state estimate tables on the DRC’s Interactive Data Query.

2016 National Survey of Children’s Health
*2015 Behavioral Risk Factor Surveillance System and ^American Community Survey

Note: Maps for the following measures are not available because estimates for more than 50% of states have a 95% confidence interval width exceeding 20 percentage points or 1.2 times the estimate and may not be reliable: NPM 6: Developmental screening, NPM 9: Bully others, NPM 12: Transition (CSHCN), and NOM 18: Mental health treatment or counseling. These measures link to the across-state estimate tables on the DRC’s Interactive Data Query.

Data Sources: National Survey of Children’s Health (Health Resources and Services Administration, Maternal and Child Health Bureau. https://mchb.hrsa.gov/data/national-surveys), except where indicated:
*Behavioral Risk Factor Surveillance System (BRFSS)
^American Community Survey (ACS)

Note: Due to changes in the NSCH’s mode of data collection and sampling frame, as well as adjustments to item wording where necessary, it is not possible to compare estimates from the redesigned survey to those from previous iterations of the NSCH or NS-CSHCN conducted prior to 2016.

Citation: Child and Adolescent Health Measurement Initiative. "[National Performance Measure/National Outcome Measure Name] State Comparison Map."[Year and name of survey]. Data Resource Center for Child and Adolescent Health supported by the U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA), Maternal and Child Health Bureau (MCHB). Retrieved [mm/dd/yy] from [www.childhealthdata.org].

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Humans Services (HHS) under grant number U59MC27866, National Maternal and Child Health Data Resource Initiative, $4.5M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the U.S. Government.