States with rankings 1-13 have lower prevalence of mental illness and higher rates of access to care for youth. States with rankings 39-51 indicate that youth have higher prevalence of mental illness and lower rates of access to care.
The 7 measures that make up the Youth Ranking include:
- Youth with At Least One Major Depressive Episode (MDE) in the Past Year
- Youth with Substance Use Disorder in the Past Year
- Youth with Severe MDE
- Youth with MDE who Did Not Receive Mental Health Services
- Youth with Severe MDE who Received Some Consistent Treatment
- Children with Private Insurance that Did Not Cover Mental or Emotional Problems
- Students Identified with Emotional Disturbance for an Individualized Education Program.
| Rank Sort descending | State |
|---|---|
| 01 | Pennsylvania |
| 02 | Maine |
| 03 | District of Columbia |
| 04 | Vermont |
| 05 | Massachusetts |
| 06 | New Hampshire |
| 07 | New Jersey |
| 08 | Connecticut |
| 09 | New York |
| 10 | Maryland |
| 11 | Wisconsin |
| 12 | Illinois |
| 13 | Colorado |
| 14 | Minnesota |
| 15 | Rhode Island |
| 16 | Mississippi |
| 17 | Georgia |
| 18 | Delaware |
| 19 | Ohio |
| 20 | Alabama |
| 21 | Virginia |
| 22 | Missouri |
| 23 | South Dakota |
| 24 | Kentucky |
| 25 | Louisiana |
| 26 | Indiana |
| 27 | Michigan |
| 28 | Oklahoma |
| 29 | Hawaii |
| 30 | Florida |
| 31 | Iowa |
| 32 | Utah |
| 33 | Kansas |
| 34 | North Dakota |
| 35 | South Carolina |
| 36 | California |
| 37 | Nebraska |
| 38 | Montana |
| 39 | Washington |
| 40 | Tennessee |
| 41 | Texas |
| 42 | North Carolina |
| 43 | Wyoming |
| 44 | West Virginia |
| 45 | Oregon |
| 46 | Alaska |
| 47 | New Mexico |
| 48 | Arkansas |
| 49 | Arizona |
| 50 | Idaho |
| 51 | Nevada |
15.08% of youth (age 12-17) report suffering from at least one major depressive episode (MDE) in the past year.
Childhood depression is more likely to persist into adulthood if gone untreated.
The number of youth experiencing MDE increased by 306,000 (1.24%) from last year's dataset.
The state prevalence of youth with MDE ranges from 11.36% in the District of Columbia to 18.62% in Oregon.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | District of Columbia | 11.36 | 4,000 |
| 02 | Mississippi | 12.64 | 31,000 |
| 03 | New Jersey | 12.71 | 86,000 |
| 04 | Pennsylvania | 12.88 | 117,000 |
| 05 | Florida | 13.25 | 191,000 |
| 06 | New York | 13.29 | 179,000 |
| 07 | Tennessee | 13.72 | 70,000 |
| 08 | Georgia | 13.75 | 119,000 |
| 09 | South Carolina | 13.82 | 52,000 |
| 10 | Louisiana | 14.14 | 51,000 |
| 11 | Hawaii | 14.16 | 13,000 |
| 12 | Connecticut | 14.41 | 39,000 |
| 13 | Alabama | 14.51 | 54,000 |
| 14 | Texas | 14.60 | 363,000 |
| 15 | Rhode Island | 14.64 | 11,000 |
| 16 | Ohio | 14.73 | 131,000 |
| 17 | Maryland | 14.93 | 67,000 |
| 18 | Colorado | 15.02 | 65,000 |
| 19 | North Dakota | 15.07 | 8,000 |
| 20 | Montana | 15.11 | 12,000 |
| 21 | Kentucky | 15.15 | 51,000 |
| 22 | Illinois | 15.15 | 149,000 |
| 23 | California | 15.22 | 459,000 |
| 24 | South Dakota | 15.41 | 11,000 |
| 25 | Delaware | 15.48 | 11,000 |
| 26 | Nebraska | 15.50 | 24,000 |
| 27 | Missouri | 15.54 | 72,000 |
| 28 | Virginia | 15.57 | 98,000 |
| 29 | Maine | 15.60 | 14,000 |
| 30 | Massachusetts | 15.61 | 75,000 |
| 31 | New Hampshire | 15.85 | 15,000 |
| 32 | Minnesota | 15.94 | 70,000 |
| 33 | Wisconsin | 15.99 | 71,000 |
| 34 | Arkansas | 16.27 | 39,000 |
| 35 | Vermont | 16.36 | 7,000 |
| 36 | Kansas | 16.53 | 39,000 |
| 37 | Michigan | 16.55 | 125,000 |
| 38 | Indiana | 16.61 | 89,000 |
| 39 | West Virginia | 16.62 | 21,000 |
| 40 | North Carolina | 16.68 | 132,000 |
| 41 | Iowa | 16.69 | 41,000 |
| 42 | Oklahoma | 17.01 | 54,000 |
| 43 | Arizona | 17.41 | 98,000 |
| 44 | Idaho | 17.44 | 27,000 |
| 45 | Wyoming | 17.59 | 8,000 |
| 46 | Utah | 17.77 | 56,000 |
| 47 | Nevada | 17.93 | 42,000 |
| 48 | Alaska | 17.93 | 10,000 |
| 49 | Washington | 18.22 | 99,000 |
| 50 | New Mexico | 18.60 | 31,000 |
| 51 | Oregon | 18.62 | 55,000 |
| 52 | National | 15.08 | 3,755,000 |
10.6% of youth (or over 2.5 million youth) cope with severe major depression.
The number of youths experiencing Severe MDE increased by 197,000 from last year's dataset.
The state prevalence of youth with Severe MDE ranges from 7.3% in the District of Columbia to 14.8% in Wyoming.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | District of Columbia | 7.30% | 2,000 |
| 02 | Alabama | 7.50% | 27,000 |
| 03 | Connecticut | 7.80% | 20,000 |
| 04 | Mississippi | 8.00% | 19,000 |
| 05 | Pennsylvania | 8.20% | 73,000 |
| 06 | New York | 8.30% | 109,000 |
| 07 | Rhode Island | 8.30% | 6,000 |
| 08 | Hawaii | 8.40% | 8,000 |
| 09 | New Jersey | 8.40% | 55,000 |
| 10 | Colorado | 9.00% | 38,000 |
| 11 | Florida | 9.00% | 124,000 |
| 12 | Ohio | 9.00% | 78,000 |
| 13 | Georgia | 9.10% | 76,000 |
| 14 | South Carolina | 9.10% | 33,000 |
| 15 | Texas | 9.70% | 234,000 |
| 16 | California | 9.80% | 284,000 |
| 17 | Kentucky | 9.90% | 32,000 |
| 18 | Louisiana | 10.20% | 36,000 |
| 19 | New Hampshire | 10.20% | 9,000 |
| 20 | North Dakota | 10.30% | 5,000 |
| 21 | Tennessee | 10.30% | 51,000 |
| 22 | Missouri | 10.40% | 47,000 |
| 23 | Massachusetts | 10.50% | 48,000 |
| 24 | Illinois | 11.00% | 104,000 |
| 25 | Kansas | 11.20% | 26,000 |
| 26 | Montana | 11.40% | 8,000 |
| 27 | Minnesota | 11.60% | 49,000 |
| 28 | Arizona | 11.90% | 64,000 |
| 29 | Michigan | 11.90% | 87,000 |
| 30 | South Dakota | 12.00% | 8,000 |
| 31 | Alaska | 12.10% | 7,000 |
| 32 | Maryland | 12.30% | 54,000 |
| 33 | Nebraska | 12.40% | 19,000 |
| 34 | Wisconsin | 12.70% | 55,000 |
| 35 | Delaware | 12.80% | 9,000 |
| 36 | Oklahoma | 12.80% | 39,000 |
| 37 | Virginia | 13.00% | 79,000 |
| 38 | Nevada | 13.20% | 29,000 |
| 39 | West Virginia | 13.30% | 16,000 |
| 40 | Iowa | 13.50% | 32,000 |
| 41 | Washington | 13.50% | 69,000 |
| 42 | Maine | 13.60% | 12,000 |
| 43 | Vermont | 13.70% | 5,000 |
| 44 | New Mexico | 13.80% | 22,000 |
| 45 | Oregon | 14.10% | 40,000 |
| 46 | North Carolina | 14.20% | 110,000 |
| 47 | Arkansas | 14.30% | 33,000 |
| 48 | Indiana | 14.50% | 76,000 |
| 49 | Utah | 14.50% | 45,000 |
| 50 | Idaho | 14.70% | 22,000 |
| 51 | Wyoming | 14.80% | 6,000 |
| 52 | National | 10.60% | 2,540,000 |
4.08% of youth in the U.S. reported having a substance use disorder in the past year.
1.64% had an alcohol use disorder in the past year, while 3.16% had an illicit drug use disorder.
The state prevalence of youth with substance use disorder ranges from 3.19% in Alabama to 5.77% in Oregon.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Alabama | 3.19 | 12,000 |
| 02 | Louisiana | 3.29 | 12,000 |
| 03 | Mississippi | 3.32 | 8,000 |
| 04 | New Jersey | 3.33 | 22,000 |
| 05 | Georgia | 3.45 | 30,000 |
| 06 | Texas | 3.49 | 87,000 |
| 07 | Pennsylvania | 3.52 | 32,000 |
| 08 | Arkansas | 3.63 | 9,000 |
| 09 | Maryland | 3.70 | 17,000 |
| 10 | Virginia | 3.71 | 23,000 |
| 11 | Connecticut | 3.74 | 10,000 |
| 12 | Hawaii | 3.75 | 4,000 |
| 13 | Utah | 3.77 | 12,000 |
| 14 | Florida | 3.86 | 56,000 |
| 15 | New York | 3.87 | 52,000 |
| 16 | North Carolina | 3.91 | 31,000 |
| 17 | Nebraska | 3.94 | 6,000 |
| 18 | South Carolina | 3.95 | 15,000 |
| 19 | Michigan | 3.98 | 30,000 |
| 20 | Tennessee | 4.00 | 21,000 |
| 21 | Kansas | 4.02 | 10,000 |
| 22 | Missouri | 4.04 | 19,000 |
| 23 | Kentucky | 4.10 | 14,000 |
| 24 | Massachusetts | 4.10 | 20,000 |
| 25 | Indiana | 4.20 | 23,000 |
| 26 | Ohio | 4.23 | 38,000 |
| 27 | Illinois | 4.25 | 42,000 |
| 28 | Delaware | 4.31 | 3,000 |
| 29 | Wisconsin | 4.34 | 19,000 |
| 30 | Oklahoma | 4.36 | 14,000 |
| 31 | West Virginia | 4.44 | 6,000 |
| 32 | Idaho | 4.47 | 7,000 |
| 33 | California | 4.55 | 137,000 |
| 34 | New Hampshire | 4.57 | 4,000 |
| 35 | Rhode Island | 4.58 | 3,000 |
| 36 | South Dakota | 4.60 | 3,000 |
| 37 | Minnesota | 4.62 | 20,000 |
| 38 | Alaska | 4.63 | 3,000 |
| 39 | Maine | 4.67 | 4,000 |
| 40 | Arizona | 4.83 | 27,000 |
| 41 | Washington | 4.84 | 26,000 |
| 42 | Iowa | 5.07 | 12,000 |
| 43 | North Dakota | 5.08 | 3,000 |
| 44 | Wyoming | 5.22 | 2,000 |
| 45 | New Mexico | 5.43 | 9,000 |
| 46 | Colorado | 5.44 | 24,000 |
| 47 | Vermont | 5.50 | 2,000 |
| 48 | District of Columbia | 5.57 | 2,000 |
| 49 | Nevada | 5.59 | 13,000 |
| 50 | Montana | 5.68 | 4,000 |
| 51 | Oregon | 5.77 | 17,000 |
| 52 | National | 4.08 | 1,017,000 |
60.3% of youth with major depression do not receive any mental health treatment.
Youth experiencing MDE continue to go untreated. Even among the states with greatest access for youth, 1 in 3 youth are still not receiving the mental health services they need.
The state prevalence of untreated youth with depression ranges from 30.0% in Maine to 73.1% in Texas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Maine | 30.00% | 4,000 |
| 02 | Colorado | 39.30% | 20,000 |
| 03 | District of Columbia | 41.00% | 1,000 |
| 04 | Vermont | 42.60% | 3,000 |
| 05 | Maryland | 44.70% | 32,000 |
| 06 | Wyoming | 44.90% | 4,000 |
| 07 | Utah | 45.40% | 25,000 |
| 08 | New Hampshire | 46.60% | 7,000 |
| 09 | Iowa | 49.30% | 21,000 |
| 10 | Oregon | 49.70% | 29,000 |
| 11 | Washington | 49.80% | 50,000 |
| 12 | Indiana | 51.50% | 50,000 |
| 13 | North Carolina | 51.90% | 74,000 |
| 14 | Delaware | 52.30% | 6,000 |
| 15 | Nebraska | 52.60% | 12,000 |
| 16 | Montana | 53.50% | 6,000 |
| 17 | Kansas | 54.50% | 21,000 |
| 18 | North Dakota | 54.60% | 4,000 |
| 19 | Wisconsin | 55.10% | 36,000 |
| 20 | Illinois | 55.20% | 77,000 |
| 21 | Pennsylvania | 55.20% | 57,000 |
| 22 | Virginia | 55.20% | 58,000 |
| 23 | New Mexico | 55.90% | 18,000 |
| 24 | Oklahoma | 56.00% | 30,000 |
| 25 | Massachusetts | 56.80% | 44,000 |
| 26 | Missouri | 57.30% | 37,000 |
| 27 | Minnesota | 58.30% | 42,000 |
| 28 | Arkansas | 58.90% | 23,000 |
| 29 | New Jersey | 58.90% | 42,000 |
| 30 | Kentucky | 59.30% | 27,000 |
| 31 | South Dakota | 59.60% | 6,000 |
| 32 | Michigan | 59.70% | 74,000 |
| 33 | New York | 60.90% | 103,000 |
| 34 | Louisiana | 62.50% | 32,000 |
| 35 | Ohio | 63.30% | 76,000 |
| 36 | Alaska | 63.40% | 6,000 |
| 37 | West Virginia | 63.90% | 13,000 |
| 38 | California | 64.50% | 278,000 |
| 39 | Rhode Island | 64.90% | 6,000 |
| 40 | Nevada | 65.20% | 28,000 |
| 41 | Connecticut | 65.60% | 24,000 |
| 42 | Tennessee | 66.50% | 40,000 |
| 43 | Alabama | 66.80% | 34,000 |
| 44 | Idaho | 67.10% | 19,000 |
| 45 | Florida | 67.30% | 117,000 |
| 46 | South Carolina | 67.60% | 34,000 |
| 47 | Georgia | 67.80% | 75,000 |
| 48 | Arizona | 70.10% | 67,000 |
| 49 | Hawaii | 71.00% | 7,000 |
| 50 | Mississippi | 71.70% | 20,000 |
| 51 | Texas | 73.10% | 255,000 |
| 52 | National | 60.30% | 2,173,000 |
Nationally, only 27.2% of youth with severe depression receive some consistent treatment (7-25+ visits in a year).
Even when simply measuring the number of visits, fewer than 1 in 3 youth with severe depression meet this determination of consistent care.
The state prevalence of youth with severe depression who received some outpatient treatment ranges from 65.6% in Maine to 12.2% in Tennessee.
High percentages are associated with positive outcomes and low percentages are associated with poorer outcomes.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Maine | 65.60% | 7,000 |
| 02 | Vermont | 49.70% | 3,000 |
| 03 | New Hampshire | 47.60% | 4,000 |
| 04 | Wyoming | 45.60% | 3,000 |
| 05 | Colorado | 43.10% | 16,000 |
| 06 | Massachusetts | 42.20% | 19,000 |
| 07 | Pennsylvania | 39.90% | 28,000 |
| 08 | Illinois | 38.30% | 38,000 |
| 09 | Oregon | 36.60% | 14,000 |
| 10 | Wisconsin | 36.40% | 19,000 |
| 11 | Delaware | 36.30% | 3,000 |
| 12 | Minnesota | 35.90% | 17,000 |
| 13 | District of Columbia | 35.80% | 1,000 |
| 14 | Washington | 35.70% | 24,000 |
| 15 | Montana | 35.50% | 3,000 |
| 16 | Maryland | 34.50% | 18,000 |
| 17 | Oklahoma | 33.60% | 12,000 |
| 18 | North Dakota | 33.00% | 2,000 |
| 19 | Indiana | 32.90% | 23,000 |
| 20 | Alabama | 31.30% | 8,000 |
| 21 | Michigan | 30.40% | 26,000 |
| 22 | Iowa | 29.50% | 9,000 |
| 23 | South Dakota | 29.30% | 2,000 |
| 24 | Kentucky | 28.60% | 9,000 |
| 25 | New Jersey | 28.40% | 14,000 |
| 26 | New York | 28.30% | 29,000 |
| 27 | Nebraska | 27.80% | 5,000 |
| 28 | Idaho | 27.70% | 6,000 |
| 29 | Utah | 27.30% | 11,000 |
| 30 | California | 26.10% | 72,000 |
| 31 | Ohio | 25.10% | 19,000 |
| 32 | Virginia | 25.00% | 19,000 |
| 33 | North Carolina | 24.90% | 27,000 |
| 34 | South Carolina | 24.20% | 8,000 |
| 35 | Connecticut | 23.60% | 5,000 |
| 36 | Arkansas | 22.70% | 7,000 |
| 37 | Kansas | 22.70% | 6,000 |
| 38 | New Mexico | 22.50% | 5,000 |
| 39 | Louisiana | 21.10% | 7,000 |
| 40 | West Virginia | 20.90% | 3,000 |
| 41 | Rhode Island | 20.40% | 1,000 |
| 42 | Alaska | 20.20% | 1,000 |
| 43 | Georgia | 20.10% | 14,000 |
| 44 | Texas | 19.20% | 44,000 |
| 45 | Nevada | 18.70% | 5,000 |
| 46 | Florida | 17.00% | 20,000 |
| 47 | Arizona | 16.10% | 10,000 |
| 48 | Mississippi | 13.50% | 2,000 |
| 49 | Hawaii | 13.30% | 1,000 |
| 50 | Missouri | 12.60% | 5,000 |
| 51 | Tennessee | 12.20% | 6,000 |
| 52 | National | 27.20% | 661,000 |
The Mental Health Parity and Addiction Equity law (MHPAE) was enacted in 2008 and promised the equal coverage of mental health and substance use services. However, the rate of children with private insurance that does not cover mental or emotional problems increased 0.3 percent from last year's dataset, and there are still 950,000 youth without coverage for their behavioral health.
The state prevalence of children lacking mental health coverage ranges from 1.9% in Massachusetts to 17.7% in Arkansas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Massachusetts | 1.90% | 5,000 |
| 02 | Vermont | 2.10% | 0 |
| 03 | Connecticut | 3.50% | 5,000 |
| 04 | Rhode Island | 3.80% | 1,000 |
| 05 | Missouri | 4.20% | 9,000 |
| 06 | New Hampshire | 4.30% | 2,000 |
| 07 | Oklahoma | 4.40% | 6,000 |
| 08 | District of Columbia | 4.50% | 1,000 |
| 09 | West Virginia | 4.50% | 2,000 |
| 10 | Wisconsin | 4.50% | 12,000 |
| 11 | South Dakota | 4.70% | 2,000 |
| 12 | Utah | 4.70% | 10,000 |
| 13 | New Jersey | 5.00% | 18,000 |
| 14 | Washington | 5.20% | 15,000 |
| 15 | Maine | 5.40% | 3,000 |
| 16 | Michigan | 6.10% | 27,000 |
| 17 | Virginia | 6.40% | 22,000 |
| 18 | Maryland | 6.50% | 15,000 |
| 19 | Illinois | 6.60% | 33,000 |
| 20 | Oregon | 6.60% | 10,000 |
| 21 | Pennsylvania | 6.80% | 32,000 |
| 22 | Delaware | 7.00% | 3,000 |
| 23 | Georgia | 7.00% | 25,000 |
| 24 | Nevada | 7.10% | 8,000 |
| 25 | Indiana | 7.40% | 22,000 |
| 26 | Iowa | 7.40% | 10,000 |
| 27 | Ohio | 7.40% | 33,000 |
| 28 | Alaska | 7.50% | 2,000 |
| 29 | New York | 7.70% | 48,000 |
| 30 | New Mexico | 7.80% | 5,000 |
| 31 | Kansas | 7.90% | 8,000 |
| 32 | Minnesota | 8.00% | 20,000 |
| 33 | California | 8.20% | 111,000 |
| 34 | Mississippi | 8.20% | 6,000 |
| 35 | Hawaii | 8.30% | 3,000 |
| 36 | Tennessee | 8.80% | 19,000 |
| 37 | Louisiana | 9.00% | 11,000 |
| 38 | Kentucky | 9.30% | 15,000 |
| 39 | Montana | 9.50% | 3,000 |
| 40 | Colorado | 9.60% | 22,000 |
| 41 | North Carolina | 10.00% | 34,000 |
| 42 | Arizona | 10.20% | 27,000 |
| 43 | Florida | 11.70% | 65,000 |
| 44 | Idaho | 12.20% | 11,000 |
| 45 | South Carolina | 12.40% | 19,000 |
| 46 | Alabama | 12.50% | 16,000 |
| 47 | Wyoming | 12.70% | 3,000 |
| 48 | Texas | 13.80% | 135,000 |
| 49 | Nebraska | 15.40% | 13,000 |
| 50 | North Dakota | 15.60% | 5,000 |
| 51 | Arkansas | 17.70% | 17,000 |
| 52 | National | 8.10% | 950,000 |
Only .759% of students are identified as having an Emotional Disturbance (ED) for an Individualized Education Program (IEP).
For purposes of an IEP, the term Emotional Disturbance is used to define youth with a mental illness that is affecting their ability to succeed in school.
Early identification for IEPs is critical. IEPs provide the services, accommodations and support students with ED need to receive a quality education.
The rate for this measure is shown as a rate per 1,000 students.
The calculation was made this way for ease of reading. Unfortunately, doing so hides the fact that the percentages are significantly lower. If states were doing a better job of identifying whether youth had emotional difficulties that could be better supported through an IEP the rates would be closer to 8% instead of .8 percent.
The state rate of students identified as having an emotional disturbance for an IEP ranges from 32.23 per 1,000 students in Vermont to 2.13 per 1,000 students in Alabama.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Vermont | 32.23 | 2,326 |
| 02 | Minnesota | 21.20 | 17,016 |
| 03 | Massachusetts | 20.22 | 17,455 |
| 04 | Pennsylvania | 16.33 | 26,105 |
| 05 | Wisconsin | 16.18 | * |
| 06 | Maine | 15.32 | 2,468 |
| 07 | Indiana | 13.36 | 12,712 |
| 08 | Iowa | 13.31 | * |
| 09 | New Hampshire | 13.24 | 2,132 |
| 10 | Connecticut | 12.43 | 5,824 |
| 11 | Rhode Island | 12.34 | 1,610 |
| 12 | North Dakota | 11.99 | 1,240 |
| 13 | District of Columbia | 11.54 | 802 |
| 14 | Illinois | 10.59 | 18,381 |
| 15 | Oregon | 10.30 | 5,568 |
| 16 | South Dakota | 10.04 | 1,251 |
| 17 | Ohio | 10.03 | 15,281 |
| 18 | Nebraska | 9.98 | 2,861 |
| 19 | Delaware | 9.47 | 1,211 |
| 20 | New York | 9.10 | 22,063 |
| 21 | Missouri | 8.87 | 7,188 |
| 22 | Michigan | 8.52 | 11,314 |
| 23 | Virginia | 8.47 | 9,913 |
| 24 | Maryland | 7.61 | 6,180 |
| 25 | Mississippi | 7.53 | 3,193 |
| 26 | Texas | 7.41 | 35,851 |
| 27 | Arizona | 7.39 | 7,756 |
| 28 | Kentucky | 7.39 | 4,501 |
| 29 | Colorado | 6.98 | 5,687 |
| 30 | Wyoming | 6.80 | 589 |
| 31 | Montana | 6.68 | 906 |
| 32 | Oklahoma | 6.66 | 4,057 |
| 33 | Alaska | 6.48 | 765 |
| 34 | Georgia | 6.35 | 10,124 |
| 35 | New Mexico | 6.15 | 1,830 |
| 36 | New Jersey | 5.84 | 7,313 |
| 37 | Hawaii | 5.80 | 959 |
| 38 | Kansas | 5.60 | 2,459 |
| 39 | Washington | 5.49 | 5,633 |
| 40 | Florida | 5.43 | 14,062 |
| 41 | Idaho | 4.95 | 1,412 |
| 42 | Nevada | 4.64 | 2,085 |
| 43 | California | 4.51 | 25,424 |
| 44 | West Virginia | 4.45 | 1,025 |
| 45 | Tennessee | 3.84 | 3,470 |
| 46 | North Carolina | 3.65 | 5,187 |
| 47 | Utah | 3.12 | 1,933 |
| 48 | South Carolina | 3.05 | 2,143 |
| 49 | Louisiana | 2.74 | 1,727 |
| 50 | Arkansas | 2.54 | 1,123 |
| 51 | Alabama | 2.13 | 1,420 |
| 52 | National | 7.59 | 345,160 |