Mental Health America understands that racism undermines mental health. Therefore, we are committed to anti-racism in all that we do. This means that we pledge to work against individual racism, interpersonal racism, and institutional racism in all their forms.
States that are ranked 1-13 have lower prevalence of mental illness and higher rates of access to care for adults. States that are ranked 39-51 indicate that adults have higher prevalence of mental illness and lower rates of access to care.
The 7 measures that make up the Adult Ranking include:
- Adults with Any Mental Illness (AMI)
- Adults with Substance Use Disorder in the Past Year
- Adults with Serious Thoughts of Suicide
- Adults with AMI who are Uninsured
- Adults with AMI who Did Not Receive Treatment
- Adults with AMI Reporting Unmet Need
- Adults with Disability Who Could Not See a Doctor Due to Costs
Statistical Data for Adult Data 2021
| Rank Sort descending | State |
|---|---|
| 01 | Hawaii |
| 02 | New York |
| 03 | New Jersey |
| 04 | Minnesota |
| 05 | Pennsylvania |
| 06 | Michigan |
| 07 | Maryland |
| 08 | New Mexico |
| 09 | Massachusetts |
| 10 | Vermont |
| 11 | Illinois |
| 12 | Connecticut |
| 13 | Delaware |
| 14 | Ohio |
| 15 | Texas |
| 16 | Kentucky |
| 17 | Arizona |
| 18 | Tennessee |
| 19 | Iowa |
| 20 | South Dakota |
| 21 | California |
| 22 | Nebraska |
| 23 | North Dakota |
| 24 | Wisconsin |
| 25 | Florida |
| 26 | Rhode Island |
| 27 | West Virginia |
| 28 | New Hampshire |
| 29 | Virginia |
| 30 | Arkansas |
| 31 | Maine |
| 32 | South Carolina |
| 33 | Louisiana |
| 34 | Montana |
| 35 | North Carolina |
| 36 | District of Columbia |
| 37 | Washington |
| 38 | Kansas |
| 39 | Indiana |
| 40 | Alabama |
| 41 | Oklahoma |
| 42 | Nevada |
| 43 | Georgia |
| 44 | Missouri |
| 45 | Mississippi |
| 46 | Wyoming |
| 47 | Idaho |
| 48 | Colorado |
| 49 | Oregon |
| 50 | Alaska |
| 51 | Utah |
According to SAMHSA, ìAny Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Any mental illness includes persons who have mild mental illness, moderate mental illness, and serious mental illness."
19.00% of adults are experiencing a mental illness. Equivalent to over 47 million Americans.
4.55% are experiencing a severe mental illness.
The state prevalence of adult mental illness ranges from 16.14% in New Jersey to 25.25% in Utah.
Statistical Data for Adult Prevalence Of Mental Illness 2021
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | New Jersey | 16.14 | 1,112,000 |
| 02 | Texas | 16.21 | 3,347,000 |
| 03 | Maryland | 16.96 | 781,000 |
| 04 | Virginia | 17.38 | 1,115,000 |
| 05 | Florida | 17.39 | 2,889,000 |
| 06 | South Dakota | 17.49 | 112,000 |
| 07 | Hawaii | 17.58 | 187,000 |
| 08 | Illinois | 18.06 | 1,754,000 |
| 09 | Nebraska | 18.08 | 257,000 |
| 10 | Georgia | 18.09 | 1,405,000 |
| 11 | Pennsylvania | 18.23 | 1,814,000 |
| 12 | New York | 18.25 | 2,802,000 |
| 13 | Tennessee | 18.26 | 937,000 |
| 14 | South Carolina | 18.31 | 706,000 |
| 15 | California | 18.54 | 5,566,000 |
| 16 | North Carolina | 18.77 | 1,469,000 |
| 17 | Connecticut | 19.03 | 531,000 |
| 18 | Michigan | 19.07 | 1,469,000 |
| 19 | New Mexico | 19.10 | 300,000 |
| 20 | North Dakota | 19.13 | 108,000 |
| 21 | Arizona | 19.24 | 1,030,000 |
| 22 | Wisconsin | 19.26 | 859,000 |
| 23 | Minnesota | 19.32 | 819,000 |
| 24 | Mississippi | 19.49 | 431,000 |
| 25 | Kansas | 19.59 | 420,000 |
| 26 | Iowa | 19.89 | 473,000 |
| 27 | Montana | 20.00 | 163,000 |
| 28 | Delaware | 20.03 | 149,000 |
| 29 | Arkansas | 20.27 | 457,000 |
| 30 | Wyoming | 20.34 | 88,000 |
| 31 | Oklahoma | 20.43 | 592,000 |
| 32 | Alaska | 20.50 | 108,000 |
| 33 | New Hampshire | 20.56 | 221,000 |
| 34 | Louisiana | 20.63 | 715,000 |
| 35 | Vermont | 20.65 | 104,000 |
| 36 | Nevada | 20.67 | 474,000 |
| 37 | Maine | 20.82 | 223,000 |
| 38 | Massachusetts | 21.22 | 1,155,000 |
| 39 | Rhode Island | 21.32 | 178,000 |
| 40 | Alabama | 21.39 | 794,000 |
| 41 | Ohio | 21.40 | 1,906,000 |
| 42 | Missouri | 21.44 | 993,000 |
| 43 | Colorado | 21.50 | 924,000 |
| 44 | Kentucky | 22.14 | 746,000 |
| 45 | District of Columbia | 22.21 | 125,000 |
| 46 | Washington | 22.23 | 1,269,000 |
| 47 | Oregon | 22.45 | 731,000 |
| 48 | Indiana | 22.51 | 1,129,000 |
| 49 | West Virginia | 23.80 | 337,000 |
| 50 | Idaho | 24.46 | 311,000 |
| 51 | Utah | 25.25 | 550,000 |
| 52 | National | 19.00 | 47,132,000 |
7.67% of adults in America reported having a substance use disorder in the past year.
2.87% of adults in America reported having an illicit drug use disorder in the past year.
5.74% of adults in America reported having an alcohol use disorder in the past year.
The state prevalence of adults with substance use disorder ranges from 6.34% in Texas to 13.01% in the District of Columbia.
Statistical Data for Adult with Substance Use Disorder in the Past Year 2021
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Texas | 6.34 | 1,308,000 |
| 02 | Utah | 6.42 | 140,000 |
| 03 | Florida | 6.68 | 1,109,000 |
| 04 | West Virginia | 6.76 | 96,000 |
| 05 | Georgia | 6.77 | 526,000 |
| 06 | Mississippi | 6.77 | 150,000 |
| 07 | Maryland | 6.89 | 317,000 |
| 08 | North Carolina | 6.95 | 544,000 |
| 09 | Tennessee | 6.95 | 357,000 |
| 10 | New Jersey | 7.01 | 483,000 |
| 11 | Hawaii | 7.13 | 76,000 |
| 12 | Minnesota | 7.24 | 307,000 |
| 13 | Wyoming | 7.25 | 31,000 |
| 14 | Kansas | 7.27 | 156,000 |
| 15 | Pennsylvania | 7.30 | 727,000 |
| 16 | Virginia | 7.32 | 470,000 |
| 17 | Arizona | 7.36 | 394,000 |
| 18 | Indiana | 7.39 | 371,000 |
| 19 | Kentucky | 7.46 | 251,000 |
| 20 | Alabama | 7.46 | 277,000 |
| 21 | Michigan | 7.47 | 576,000 |
| 22 | New Mexico | 7.53 | 118,000 |
| 23 | New York | 7.57 | 1,162,000 |
| 24 | Missouri | 7.57 | 351,000 |
| 25 | South Carolina | 7.60 | 293,000 |
| 26 | Ohio | 7.64 | 680,000 |
| 27 | Idaho | 7.76 | 99,000 |
| 28 | Nebraska | 8.01 | 114,000 |
| 29 | Arkansas | 8.02 | 181,000 |
| 30 | California | 8.12 | 2,437,000 |
| 31 | Illinois | 8.16 | 793,000 |
| 32 | Washington | 8.53 | 487,000 |
| 33 | Oklahoma | 8.54 | 248,000 |
| 34 | Wisconsin | 8.68 | 387,000 |
| 35 | Louisiana | 8.69 | 301,000 |
| 36 | Delaware | 8.76 | 65,000 |
| 37 | North Dakota | 8.79 | 50,000 |
| 38 | Rhode Island | 8.80 | 74,000 |
| 39 | Connecticut | 8.82 | 246,000 |
| 40 | Nevada | 9.00 | 206,000 |
| 41 | New Hampshire | 9.09 | 98,000 |
| 42 | Iowa | 9.13 | 217,000 |
| 43 | South Dakota | 9.17 | 59,000 |
| 44 | Maine | 9.27 | 99,000 |
| 45 | Massachusetts | 9.34 | 508,000 |
| 46 | Montana | 9.41 | 76,000 |
| 47 | Alaska | 9.76 | 51,000 |
| 48 | Oregon | 9.94 | 323,000 |
| 49 | Vermont | 10.51 | 53,000 |
| 50 | Colorado | 11.90 | 511,000 |
| 51 | District of Columbia | 13.01 | 73,000 |
| 52 | National | 7.67 | 19,026,000 |
The percentage of adults reporting serious thoughts of suicide is 4.34%. The estimated number of adults with serious suicidal thoughts is over 10.7 million - an increase of over 460,000 people from last year's data set.
The state prevalence of adults with serious thoughts of suicide ranges from 3.47% in New Jersey to 6.47% in Utah.
Statistical Data for Adults with Serious Thoughts of Suicide 2021
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | New Jersey | 3.47 | 239,000 |
| 02 | New York | 3.63 | 558,000 |
| 03 | Texas | 3.66 | 756,000 |
| 04 | Florida | 3.67 | 610,000 |
| 05 | Illinois | 3.87 | 376,000 |
| 06 | Georgia | 4.03 | 314,000 |
| 07 | Maryland | 4.07 | 188,000 |
| 08 | California | 4.10 | 1,232,000 |
| 09 | Michigan | 4.13 | 319,000 |
| 10 | Virginia | 4.16 | 267,000 |
| 11 | District of Columbia | 4.17 | 23,000 |
| 12 | Pennsylvania | 4.17 | 416,000 |
| 13 | South Dakota | 4.21 | 27,000 |
| 14 | New Mexico | 4.25 | 67,000 |
| 15 | Nebraska | 4.29 | 61,000 |
| 16 | Arizona | 4.43 | 237,000 |
| 17 | Alabama | 4.45 | 165,000 |
| 18 | Tennessee | 4.48 | 230,000 |
| 19 | Connecticut | 4.48 | 125,000 |
| 20 | Oklahoma | 4.53 | 132,000 |
| 21 | North Carolina | 4.57 | 358,000 |
| 22 | Louisiana | 4.57 | 159,000 |
| 23 | Minnesota | 4.59 | 195,000 |
| 24 | Hawaii | 4.59 | 49,000 |
| 25 | Kentucky | 4.65 | 157,000 |
| 26 | Nevada | 4.65 | 107,000 |
| 27 | Rhode Island | 4.66 | 39,000 |
| 28 | Arkansas | 4.71 | 106,000 |
| 29 | Missouri | 4.72 | 219,000 |
| 30 | Maine | 4.81 | 52,000 |
| 31 | Mississippi | 4.82 | 107,000 |
| 32 | Kansas | 4.82 | 103,000 |
| 33 | South Carolina | 4.90 | 189,000 |
| 34 | New Hampshire | 4.91 | 53,000 |
| 35 | Massachusetts | 4.92 | 268,000 |
| 36 | Wyoming | 5.04 | 22,000 |
| 37 | Delaware | 5.06 | 38,000 |
| 38 | North Dakota | 5.11 | 29,000 |
| 39 | Wisconsin | 5.17 | 231,000 |
| 40 | Ohio | 5.18 | 461,000 |
| 41 | Montana | 5.21 | 42,000 |
| 42 | Vermont | 5.22 | 26,000 |
| 43 | Indiana | 5.23 | 262,000 |
| 44 | West Virginia | 5.26 | 75,000 |
| 45 | Washington | 5.30 | 303,000 |
| 46 | Oregon | 5.36 | 175,000 |
| 47 | Iowa | 5.40 | 129,000 |
| 48 | Idaho | 5.45 | 69,000 |
| 49 | Colorado | 5.51 | 237,000 |
| 50 | Alaska | 5.85 | 31,000 |
| 51 | Utah | 6.47 | 141,000 |
| 52 | National | 4.33 | 107,700 |
10.8% (over 5.1 million) of adults with a mental illness remain uninsured.
The rankings for this indicator used data from the 2017-2018 NSDUH. In December 2017, Congress passed the Tax Cuts and Jobs Act, which eliminated the individual mandate penalty from the ACA.
There was a 0.5% increase from last year's dataset, the first time this indicator has increased since the passage of the ACA.
The increase in this indicator is consistent with data from the U.S. Census Bureau, which found that in 2018, the rate of uninsured Americans rose for the first time since the ACA took effect.
Only twenty states saw a reduction in Adults with AMI who are uninsured in this year's dataset. The largest reductions were seen in Louisiana (5.0%), South Dakota (3.3%), Kentucky (2.4%) and Kansas (2.2%). The largest increases were seen in Iowa (5.1%), Mississippi (3.9%), Arkansas (3.7%) and Missouri (3.2%).
The state prevalence of uninsured adults with mental illness ranges from 2.5% in the District of Columbia to 23.0% in Wyoming.
Statistical Data for Adults with AMI who are Uninsured 2021
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | District of Columbia | 2.5 | 3000 |
| 02 | Vermont | 3.9 | 4000 |
| 03 | Massachusetts | 4.2 | 51000 |
| 04 | Connecticut | 4.6 | 25000 |
| 05 | Kentucky | 4.8 | 37000 |
| 06 | New York | 5.1 | 139000 |
| 07 | Rhode Island | 5.8 | 11000 |
| 08 | Pennsylvania | 6 | 108000 |
| 09 | Michigan | 6.4 | 93000 |
| 10 | New Mexico | 6.4 | 19000 |
| 11 | Hawaii | 6.4 | 12000 |
| 12 | Delaware | 6.8 | 10000 |
| 13 | Maryland | 7 | 55000 |
| 14 | Ohio | 7.1 | 138000 |
| 15 | Minnesota | 7.3 | 58000 |
| 16 | Wisconsin | 7.4 | 62000 |
| 17 | New Hampshire | 7.5 | 17000 |
| 18 | California | 7.8 | 434000 |
| 19 | South Dakota | 8.2 | 9000 |
| 20 | West Virginia | 8.3 | 31000 |
| 21 | Iowa | 8.4 | 39000 |
| 22 | New Jersey | 8.8 | 94000 |
| 23 | North Dakota | 8.8 | 9000 |
| 24 | Illinois | 8.9 | 151000 |
| 25 | Colorado | 9 | 84000 |
| 26 | Oregon | 9 | 67000 |
| 27 | Arizona | 9.6 | 97000 |
| 28 | Louisiana | 9.7 | 72000 |
| 29 | Nebraska | 10.3 | 25000 |
| 30 | Montana | 10.3 | 17000 |
| 31 | Nevada | 10.5 | 51000 |
| 32 | Washington | 10.6 | 140000 |
| 33 | Arkansas | 10.9 | 51000 |
| 34 | Indiana | 11.4 | 134000 |
| 35 | Alaska | 11.6 | 12000 |
| 36 | Utah | 11.7 | 67000 |
| 37 | Kansas | 12.4 | 52000 |
| 38 | South Carolina | 12.5 | 85000 |
| 39 | Maine | 12.7 | 29000 |
| 40 | Virginia | 13.5 | 147000 |
| 41 | Idaho | 13.7 | 46000 |
| 42 | North Carolina | 13.8 | 204000 |
| 43 | Oklahoma | 15.9 | 92000 |
| 44 | Missouri | 16.2 | 169000 |
| 45 | Florida | 17.4 | 503000 |
| 46 | Georgia | 18.5 | 255000 |
| 47 | Alabama | 18.8 | 154000 |
| 48 | Tennessee | 19 | 171000 |
| 49 | Texas | 20.1 | 664000 |
| 50 | Mississippi | 22.2 | 95000 |
| 51 | Wyoming | 23 | 21000 |
| 52 | National | 10.8 | 511,400 |
Statistical Data for Adults with AMI who Did Not Receive Treatment 2021
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Vermont | 42.8 | 45000 |
| 02 | Arkansas | 47.5 | 221000 |
| 03 | Rhode Island | 49 | 89000 |
| 04 | Wisconsin | 49.2 | 412000 |
| 05 | Massachusetts | 49.5 | 597000 |
| 06 | Delaware | 49.7 | 75000 |
| 07 | Iowa | 49.8 | 231000 |
| 08 | Maine | 49.9 | 114000 |
| 09 | Ohio | 50.7 | 978000 |
| 10 | Kentucky | 50.9 | 392000 |
| 11 | Colorado | 50.9 | 475000 |
| 12 | Kansas | 51.1 | 213000 |
| 13 | Utah | 51.2 | 294000 |
| 14 | South Carolina | 51.4 | 349000 |
| 15 | Tennessee | 51.7 | 463000 |
| 16 | New Hampshire | 51.9 | 116000 |
| 17 | West Virginia | 52.2 | 193000 |
| 18 | District of Columbia | 52.2 | 68000 |
| 19 | Minnesota | 52.6 | 416000 |
| 20 | Arizona | 52.7 | 535000 |
| 21 | Pennsylvania | 53 | 953000 |
| 22 | Nebraska | 53 | 128000 |
| 23 | Washington | 53.5 | 704000 |
| 24 | Idaho | 53.5 | 177000 |
| 25 | Michigan | 53.8 | 779000 |
| 26 | Connecticut | 53.9 | 287000 |
| 27 | Montana | 54.2 | 89000 |
| 28 | Virginia | 54.5 | 589000 |
| 29 | North Dakota | 54.5 | 56000 |
| 30 | South Dakota | 54.8 | 57000 |
| 31 | Missouri | 55.3 | 576000 |
| 32 | Illinois | 55.8 | 946000 |
| 33 | Indiana | 55.9 | 653000 |
| 34 | North Carolina | 56.5 | 833000 |
| 35 | New Mexico | 56.6 | 167000 |
| 36 | Alabama | 56.7 | 463000 |
| 37 | Mississippi | 57.7 | 247000 |
| 38 | Oklahoma | 58.9 | 340000 |
| 39 | Maryland | 59.1 | 459000 |
| 40 | Oregon | 59.3 | 442000 |
| 41 | Texas | 59.6 | 1960000 |
| 42 | New Jersey | 60 | 644000 |
| 43 | New York | 60.3 | 1655000 |
| 44 | Nevada | 60.3 | 282000 |
| 45 | Louisiana | 62 | 459000 |
| 46 | Florida | 63 | 1816000 |
| 47 | Wyoming | 64.8 | 60000 |
| 48 | Georgia | 64.9 | 888000 |
| 49 | California | 65 | 3620000 |
| 50 | Alaska | 65.5 | 70000 |
| 51 | Hawaii | 65.8 | 124000 |
| 52 | National | 57 | 267,970 |
Almost a quarter (23.6%) of all adults with a mental illness reported that they were not able to receive the treatment they needed. This number has not declined since 2011.
Individuals seeking treatment but still not receiving needed services face the same barriers that contribute to the number of individuals not receiving treatment:
- No insurance or limited coverage of services.
- Shortfall in psychiatrists, and an overall undersized mental health workforce.
- Lack of available treatment types (inpatient treatment, individual therapy, intensive community services).
- Disconnect between primary care systems and behavioral health systems.
- Insufficient finances to cover costs ñ including copays, uncovered treatment types, or when providers do not take insurance.
The state prevalence of adults with AMI reporting unmet treatment needs ranges from 12% in Hawaii to 31.6% in Kansas.
Statistical Data for Adults with AMI Reporting Unmet Need 2021
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Hawaii | 12 | 23000 |
| 02 | Alabama | 18.7 | 153000 |
| 03 | Texas | 19.9 | 655000 |
| 04 | Wyoming | 19.9 | 18000 |
| 05 | Minnesota | 20.7 | 163000 |
| 06 | New Mexico | 20.8 | 61000 |
| 07 | Tennessee | 20.9 | 188000 |
| 08 | Louisiana | 21 | 155000 |
| 09 | New York | 21.4 | 585000 |
| 10 | Massachusetts | 21.6 | 263000 |
| 11 | Florida | 21.9 | 633000 |
| 12 | Ohio | 22.1 | 427000 |
| 13 | Idaho | 22.1 | 73000 |
| 14 | Vermont | 22.5 | 24000 |
| 15 | California | 22.8 | 1272000 |
| 16 | Illinois | 22.9 | 388000 |
| 17 | West Virginia | 22.9 | 84000 |
| 18 | Delaware | 23 | 35000 |
| 19 | Georgia | 23.1 | 317000 |
| 20 | North Dakota | 23.3 | 24000 |
| 21 | Oklahoma | 23.5 | 136000 |
| 22 | Washington | 23.7 | 310000 |
| 23 | Mississippi | 23.8 | 102000 |
| 24 | Indiana | 23.9 | 281000 |
| 25 | Michigan | 24.4 | 353000 |
| 26 | New Jersey | 24.4 | 262000 |
| 27 | Alaska | 24.4 | 26000 |
| 28 | Kentucky | 24.5 | 189000 |
| 29 | Montana | 24.6 | 41000 |
| 30 | Maine | 24.8 | 57000 |
| 31 | New Hampshire | 24.8 | 55000 |
| 32 | Wisconsin | 24.9 | 209000 |
| 33 | Maryland | 25.2 | 196000 |
| 34 | Connecticut | 25.4 | 135000 |
| 35 | Iowa | 25.5 | 117000 |
| 36 | Arizona | 25.8 | 259000 |
| 37 | Arkansas | 26 | 122000 |
| 38 | Missouri | 26.1 | 272000 |
| 39 | Nevada | 26.1 | 122000 |
| 40 | Nebraska | 26.2 | 63000 |
| 41 | South Dakota | 26.4 | 28000 |
| 42 | North Carolina | 26.5 | 391000 |
| 43 | South Carolina | 26.6 | 181000 |
| 44 | Pennsylvania | 26.8 | 480000 |
| 45 | Rhode Island | 27.9 | 50000 |
| 46 | Colorado | 28.2 | 263000 |
| 47 | Virginia | 28.6 | 309000 |
| 48 | District of Columbia | 29.4 | 38000 |
| 49 | Utah | 30.1 | 172000 |
| 50 | Oregon | 30.2 | 225000 |
| 51 | Kansas | 31.6 | 132000 |
| 52 | National | 23.6 | 111,190 |
28.69% of adults with a cognitive disability were not able to see a doctor due to costs.
According to the Centers for Disease Control (CDC), 11.5% of people in the U.S. had a cognitive disability in 2018, even when adjusted for age. The percentage of people with cognitive disability ranged from 7.9% in some states to 17.9%.
A 2017 study found that compared to working-age adults without disabilities, those with disabilities are more likely to live below the federal poverty level and to use public insurance. Their average health costs were also 3-7 times higher than those without disabilities.
The prevalence of adults with cognitive disability who couldn't see a MD due to cost ranges from 17.10% in the District of Columbia to 41.92% in Georgia.
Statistical Data for Adults with Disability Who Could Not See a Doctor Due to Costs 2021
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | District of Columbia | 17.10 | 8373 |
| 02 | Iowa | 17.54 | 37774 |
| 03 | Hawaii | 17.63 | 16639 |
| 04 | Massachusetts | 18.56 | 109857 |
| 05 | Vermont | 19.02 | 9542 |
| 06 | New York | 20.97 | 314383 |
| 07 | Delaware | 20.98 | 18284 |
| 08 | Ohio | 21.02 | 236528 |
| 09 | Connecticut | 21.61 | 53913 |
| 10 | Pennsylvania | 22.48 | 277857 |
| 11 | Montana | 22.85 | 20088 |
| 12 | North Dakota | 23.74 | 12428 |
| 13 | Minnesota | 24.20 | 91135 |
| 14 | Maine | 24.37 | 33492 |
| 15 | Washington | 24.84 | 141746 |
| 16 | Michigan | 25.18 | 252279 |
| 17 | New Jersey | 25.19 | 177138 |
| 18 | Nevada | 25.27 | 76372 |
| 19 | Rhode Island | 25.71 | 26383 |
| 20 | Kentucky | 25.85 | 137755 |
| 21 | West Virginia | 25.99 | 65433 |
| 22 | Oregon | 26.03 | 108294 |
| 23 | New Hampshire | 26.91 | 28858 |
| 24 | California | 27.05 | 796447 |
| 25 | Indiana | 27.10 | 157334 |
| 26 | Arizona | 27.17 | 153262 |
| 27 | Wyoming | 27.44 | 12362 |
| 28 | Colorado | 27.45 | 88135 |
| 29 | Maryland | 27.45 | 111740 |
| 30 | Louisiana | 28.08 | 160506 |
| 31 | Oklahoma | 28.18 | 115914 |
| 32 | Wisconsin | 28.20 | 119187 |
| 33 | New Mexico | 28.23 | 54533 |
| 34 | South Dakota | 28.36 | 17869 |
| 35 | Illinois | 29.66 | 249140 |
| 36 | Kansas | 30.27 | 70938 |
| 37 | Alaska | 30.90 | 17348 |
| 38 | Idaho | 31.04 | 43794 |
| 39 | Nebraska | 31.66 | 39724 |
| 40 | Tennessee | 31.86 | 245411 |
| 41 | Utah | 31.92 | 75977 |
| 42 | Missouri | 32.87 | 190827 |
| 43 | South Carolina | 33.75 | 179775 |
| 44 | Arkansas | 34.16 | 111986 |
| 45 | Virginia | 34.24 | 223528 |
| 46 | Texas | 34.57 | 690102 |
| 47 | Mississippi | 35.20 | 130909 |
| 48 | North Carolina | 35.23 | 343530 |
| 49 | Florida | 35.36 | 754413 |
| 50 | Alabama | 36.70 | 212868 |
| 51 | Georgia | 41.92 | 410646 |
| 52 | National | 28.69 | 815,377 |