States that are ranked 1-10 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 Did Not Receive Treatment
- Adults with AMI Reporting Unmet Need
- Adults with AMI who are Uninsured
- Adults with Cognitive Disability Who Could Not See a Doctor Due to Costs
| Rank Sort descending | State |
|---|---|
| 01 | New Jersey |
| 02 | Wisconsin |
| 03 | Massachusetts |
| 04 | Connecticut |
| 05 | New York |
| 06 | Minnesota |
| 07 | Hawaii |
| 08 | Pennsylvania |
| 09 | Maryland |
| 10 | Illinois |
| 11 | Rhode Island |
| 12 | South Dakota |
| 13 | Kentucky |
| 14 | Iowa |
| 15 | New Mexico |
| 16 | Arkansas |
| 17 | Montana |
| 18 | Michigan |
| 19 | Vermont |
| 20 | Virginia |
| 21 | North Carolina |
| 22 | South Carolina |
| 23 | West Virginia |
| 24 | North Dakota |
| 25 | Florida |
| 26 | Louisiana |
| 27 | Nebraska |
| 28 | California |
| 29 | Tennessee |
| 30 | New Hampshire |
| 31 | Georgia |
| 32 | Washington |
| 33 | Texas |
| 34 | Delaware |
| 35 | Arizona |
| 36 | Ohio |
| 37 | Maine |
| 38 | Oklahoma |
| 39 | Idaho |
| 40 | Nevada |
| 41 | Mississippi |
| 42 | Kansas |
| 43 | Indiana |
| 44 | Missouri |
| 45 | District of Columbia |
| 46 | Alaska |
| 47 | Alabama |
| 48 | Utah |
| 49 | Oregon |
| 50 | Wyoming |
| 51 | Colorado |
19.86% of adults are experiencing a mental illness. Equivalent to nearly 50 million Americans.
4.91% are experiencing a severe mental illness.
The state prevalence of adult mental illness ranges from 16.37% in New Jersey to 26.86% in Utah.
According to SAMHSA, Any 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."
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | New Jersey | 16.37 | 1,122,000 |
| 02 | Texas | 17.17 | 3,602,000 |
| 03 | Florida | 17.23 | 2,903,000 |
| 04 | Hawaii | 17.45 | 185,000 |
| 05 | Maryland | 17.57 | 810,000 |
| 06 | Georgia | 17.88 | 1,406,000 |
| 07 | South Dakota | 18.26 | 118,000 |
| 08 | Iowa | 18.50 | 441,000 |
| 09 | Virginia | 18.58 | 1,199,000 |
| 10 | Connecticut | 18.85 | 526,000 |
| 11 | Illinois | 19.18 | 1,858,000 |
| 12 | North Carolina | 19.31 | 1,532,000 |
| 13 | Tennessee | 19.40 | 1,006,000 |
| 14 | South Carolina | 19.43 | 760,000 |
| 15 | California | 19.49 | 5,864,000 |
| 16 | New York | 19.52 | 2,972,000 |
| 17 | Pennsylvania | 19.70 | 1,963,000 |
| 18 | Arizona | 20.06 | 1,099,000 |
| 19 | Mississippi | 20.16 | 446,000 |
| 20 | Wisconsin | 20.19 | 904,000 |
| 21 | Nebraska | 20.30 | 290,000 |
| 22 | Michigan | 20.32 | 1,571,000 |
| 23 | Arkansas | 20.34 | 460,000 |
| 24 | North Dakota | 20.50 | 116,000 |
| 25 | Minnesota | 20.53 | 876,000 |
| 26 | Kansas | 20.56 | 442,000 |
| 27 | Montana | 20.81 | 171,000 |
| 28 | Delaware | 20.92 | 157,000 |
| 29 | Massachusetts | 21.15 | 1,157,000 |
| 30 | Louisiana | 21.21 | 734,000 |
| 31 | Alabama | 21.29 | 794,000 |
| 32 | New Mexico | 21.39 | 338,000 |
| 33 | Alaska | 21.47 | 113,000 |
| 34 | Nevada | 21.97 | 512,000 |
| 35 | Maine | 22.10 | 238,000 |
| 36 | Vermont | 22.25 | 112,000 |
| 37 | Indiana | 22.29 | 1,125,000 |
| 38 | New Hampshire | 22.37 | 243,000 |
| 39 | Rhode Island | 22.38 | 187,000 |
| 40 | Idaho | 22.48 | 293,000 |
| 41 | Oklahoma | 22.54 | 657,000 |
| 42 | Kentucky | 22.54 | 762,000 |
| 43 | Wyoming | 22.56 | 98,000 |
| 44 | Missouri | 22.71 | 1,056,000 |
| 45 | District of Columbia | 22.83 | 129,000 |
| 46 | Colorado | 23.20 | 1,014,000 |
| 47 | Washington | 23.43 | 1,360,000 |
| 48 | Ohio | 23.64 | 2,112,000 |
| 49 | Oregon | 23.75 | 783,000 |
| 50 | West Virginia | 24.62 | 347,000 |
| 51 | Utah | 26.86 | 599,000 |
| 52 | National | 19.86 | 49,564,000 |
7.74% of adults in America reported having a substance use disorder in the past year.
2.97% of adults in America reported having an illicit drug use disorder in the past year.
5.71% 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 5.98% in Florida to 12.30% in the District of Columbia.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Florida | 5.98 | 1,007,000 |
| 02 | West Virginia | 6.29 | 89,000 |
| 03 | Texas | 6.48 | 1,360,000 |
| 04 | Utah | 6.56 | 146,000 |
| 05 | Georgia | 6.60 | 519,000 |
| 06 | New Jersey | 6.71 | 459,000 |
| 07 | South Carolina | 6.73 | 263,000 |
| 08 | Maryland | 7.01 | 323,000 |
| 09 | Arizona | 7.11 | 390,000 |
| 10 | Mississippi | 7.15 | 158,000 |
| 11 | Arkansas | 7.16 | 162,000 |
| 12 | Tennessee | 7.22 | 375,000 |
| 13 | North Carolina | 7.26 | 576,000 |
| 14 | Kansas | 7.29 | 157,000 |
| 15 | Pennsylvania | 7.31 | 728,000 |
| 16 | Virginia | 7.33 | 473,000 |
| 17 | New York | 7.43 | 1,131,000 |
| 18 | Michigan | 7.56 | 585,000 |
| 19 | Minnesota | 7.62 | 325,000 |
| 20 | Idaho | 7.67 | 100,000 |
| 21 | South Dakota | 7.69 | 50,000 |
| 22 | New Mexico | 7.70 | 122,000 |
| 23 | Missouri | 7.71 | 358,000 |
| 24 | Nebraska | 7.71 | 110,000 |
| 25 | Wyoming | 7.84 | 34,000 |
| 26 | Kentucky | 7.87 | 266,000 |
| 27 | Alabama | 7.89 | 294,000 |
| 28 | Ohio | 7.94 | 709,000 |
| 29 | Wisconsin | 7.98 | 358,000 |
| 30 | Oklahoma | 8.01 | 234,000 |
| 31 | Illinois | 8.02 | 777,000 |
| 32 | Iowa | 8.05 | 192,000 |
| 33 | Louisiana | 8.06 | 279,000 |
| 34 | Indiana | 8.42 | 425,000 |
| 35 | Connecticut | 8.43 | 235,000 |
| 36 | Hawaii | 8.45 | 90,000 |
| 37 | Washington | 8.62 | 500,000 |
| 38 | Delaware | 8.79 | 66,000 |
| 39 | Massachusetts | 8.83 | 483,000 |
| 40 | New Hampshire | 8.84 | 96,000 |
| 41 | North Dakota | 8.88 | 50,000 |
| 42 | Maine | 8.89 | 96,000 |
| 43 | Rhode Island | 8.95 | 75,000 |
| 44 | California | 9.23 | 2,778,000 |
| 45 | Nevada | 9.32 | 217,000 |
| 46 | Oregon | 9.78 | 322,000 |
| 47 | Montana | 10.04 | 83,000 |
| 48 | Vermont | 10.10 | 51,000 |
| 49 | Alaska | 10.23 | 54,000 |
| 50 | Colorado | 11.75 | 514,000 |
| 51 | District of Columbia | 12.30 | 70,000 |
| 52 | National | 7.74 | 19,314,000 |
The percentage of adults reporting serious thoughts of suicide is 4.58%. The estimated number of adults with serious suicidal thoughts is over 11.4 million - an increase of 664,000 people from last year's data set.
The national rate of adults experiencing suicidal ideation has increased every year since 2011-2012.
The state prevalence of adults with serious thoughts of suicide ranges from 3.79% in New Jersey to 6.19% in Utah.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | New Jersey | 3.79 | 260,000 |
| 02 | Georgia | 3.85 | 303,000 |
| 03 | Texas | 3.86 | 812,000 |
| 04 | North Carolina | 3.87 | 307,000 |
| 05 | Illinois | 4.00 | 388,000 |
| 06 | Florida | 4.04 | 682,000 |
| 07 | New York | 4.21 | 642,000 |
| 08 | Virginia | 4.22 | 272,000 |
| 09 | Maryland | 4.34 | 200,000 |
| 10 | District of Columbia | 4.43 | 25,000 |
| 11 | Connecticut | 4.46 | 125,000 |
| 12 | California | 4.55 | 1,370,000 |
| 13 | Oklahoma | 4.58 | 134,000 |
| 14 | Rhode Island | 4.59 | 38,000 |
| 15 | Michigan | 4.61 | 357,000 |
| 16 | South Dakota | 4.62 | 30,000 |
| 17 | Montana | 4.63 | 38,000 |
| 18 | Wisconsin | 4.66 | 209,000 |
| 19 | Tennessee | 4.68 | 243,000 |
| 20 | Kentucky | 4.68 | 158,000 |
| 21 | New Hampshire | 4.68 | 51,000 |
| 22 | Arkansas | 4.71 | 107,000 |
| 23 | Louisiana | 4.72 | 163,000 |
| 24 | Minnesota | 4.74 | 202,000 |
| 25 | Hawaii | 4.74 | 50,000 |
| 26 | Massachusetts | 4.77 | 261,000 |
| 27 | New Mexico | 4.81 | 76,000 |
| 28 | Pennsylvania | 4.83 | 482,000 |
| 29 | Alabama | 4.83 | 180,000 |
| 30 | Nebraska | 4.88 | 70,000 |
| 31 | South Carolina | 4.89 | 191,000 |
| 32 | Washington | 4.92 | 286,000 |
| 33 | Iowa | 4.94 | 118,000 |
| 34 | Nevada | 4.94 | 115,000 |
| 35 | Kansas | 4.96 | 107,000 |
| 36 | Arizona | 5.01 | 275,000 |
| 37 | Missouri | 5.05 | 235,000 |
| 38 | Delaware | 5.18 | 39,000 |
| 39 | North Dakota | 5.28 | 30,000 |
| 40 | Idaho | 5.30 | 69,000 |
| 41 | Mississippi | 5.31 | 118,000 |
| 42 | West Virginia | 5.44 | 77,000 |
| 43 | Maine | 5.44 | 59,000 |
| 44 | Colorado | 5.54 | 242,000 |
| 45 | Indiana | 5.62 | 284,000 |
| 46 | Oregon | 5.65 | 187,000 |
| 47 | Vermont | 5.66 | 29,000 |
| 48 | Wyoming | 5.74 | 25,000 |
| 49 | Ohio | 6.09 | 545,000 |
| 50 | Alaska | 6.11 | 32,000 |
| 51 | Utah | 6.19 | 138,000 |
| 52 | National | 4.58 | 11,434,000 |
11.1% (over 5.5 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 3.8% in Massachusetts to 21.5% in Texas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Massachusetts | 3.80% | 45,000 |
| 02 | Kentucky | 4.20% | 33,000 |
| 03 | Rhode Island | 4.40% | 9,000 |
| 04 | District of Columbia | 4.70% | 6,000 |
| 05 | Hawaii | 4.70% | 9,000 |
| 06 | Vermont | 5.10% | 6,000 |
| 07 | New York | 5.20% | 151,000 |
| 08 | Connecticut | 5.40% | 28,000 |
| 09 | Maryland | 5.60% | 43,000 |
| 10 | Pennsylvania | 5.90% | 115,000 |
| 11 | Wisconsin | 6.30% | 56,000 |
| 12 | Michigan | 6.90% | 108,000 |
| 13 | Ohio | 6.90% | 150,000 |
| 14 | Illinois | 7.10% | 130,000 |
| 15 | Delaware | 7.30% | 12,000 |
| 16 | California | 7.40% | 434,000 |
| 17 | Minnesota | 8.00% | 69,000 |
| 18 | New Mexico | 8.10% | 28,000 |
| 19 | New Hampshire | 8.80% | 22,000 |
| 20 | Alaska | 9.70% | 11,000 |
| 21 | North Dakota | 9.80% | 11,000 |
| 22 | South Dakota | 9.80% | 10,000 |
| 23 | Montana | 10.00% | 17,000 |
| 24 | West Virginia | 10.10% | 37,000 |
| 25 | New Jersey | 10.60% | 116,000 |
| 26 | Colorado | 10.80% | 113,000 |
| 27 | Arkansas | 11.30% | 52,000 |
| 28 | Iowa | 11.30% | 46,000 |
| 29 | Utah | 11.30% | 70,000 |
| 30 | Nevada | 11.50% | 61,000 |
| 31 | Arizona | 11.60% | 127,000 |
| 32 | Nebraska | 11.60% | 32,000 |
| 33 | Washington | 11.60% | 165,000 |
| 34 | Oregon | 11.80% | 95,000 |
| 35 | Louisiana | 12.40% | 95,000 |
| 36 | Virginia | 12.40% | 147,000 |
| 37 | Maine | 12.60% | 31,000 |
| 38 | Indiana | 13.40% | 153,000 |
| 39 | Idaho | 14.00% | 42,000 |
| 40 | Kansas | 14.00% | 63,000 |
| 41 | Georgia | 15.20% | 207,000 |
| 42 | Tennessee | 15.30% | 148,000 |
| 43 | North Carolina | 15.40% | 240,000 |
| 44 | South Carolina | 15.60% | 119,000 |
| 45 | Oklahoma | 17.60% | 117,000 |
| 46 | Florida | 17.80% | 512,000 |
| 47 | Wyoming | 18.00% | 19,000 |
| 48 | Mississippi | 18.20% | 81,000 |
| 49 | Alabama | 19.30% | 154,000 |
| 50 | Missouri | 19.30% | 209,000 |
| 51 | Texas | 21.50% | 759,000 |
| 52 | National | 11.1 | 5,514,000 |
Over half (56%) of adults with a mental illness receive no treatment.
Over 27 million individuals experiencing a mental illness are going untreated.
The state prevalence of untreated adults with mental illness ranges from 42.6% in Vermont to 67.1% in Hawaii.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Vermont | 42.60% | 49,000 |
| 02 | Iowa | 44.20% | 181,000 |
| 03 | Massachusetts | 44.70% | 526,000 |
| 04 | Wisconsin | 44.80% | 400,000 |
| 05 | Minnesota | 46.10% | 401,000 |
| 06 | Maine | 47.70% | 117,000 |
| 07 | Nebraska | 48.80% | 134,000 |
| 08 | Arkansas | 49.60% | 228,000 |
| 09 | Utah | 49.70% | 307,000 |
| 10 | North Dakota | 50.10% | 56,000 |
| 11 | Ohio | 50.30% | 1,088,000 |
| 12 | Rhode Island | 51.00% | 99,000 |
| 13 | Montana | 51.10% | 89,000 |
| 14 | Kansas | 51.20% | 229,000 |
| 15 | North Carolina | 51.60% | 801,000 |
| 16 | West Virginia | 51.70% | 191,000 |
| 17 | Pennsylvania | 51.90% | 1,012,000 |
| 18 | New Hampshire | 52.30% | 131,000 |
| 19 | South Dakota | 52.30% | 56,000 |
| 20 | Illinois | 52.60% | 958,000 |
| 21 | Missouri | 53.30% | 575,000 |
| 22 | Idaho | 53.40% | 161,000 |
| 23 | Kentucky | 53.50% | 420,000 |
| 24 | Tennessee | 53.50% | 514,000 |
| 25 | Colorado | 53.60% | 558,000 |
| 26 | Connecticut | 54.00% | 276,000 |
| 27 | Delaware | 54.20% | 86,000 |
| 28 | New Mexico | 54.20% | 185,000 |
| 29 | Washington | 54.30% | 778,000 |
| 30 | Oregon | 54.50% | 439,000 |
| 31 | Virginia | 54.70% | 645,000 |
| 32 | District of Columbia | 55.20% | 74,000 |
| 33 | Michigan | 55.40% | 866,000 |
| 34 | South Carolina | 56.10% | 427,000 |
| 35 | Oklahoma | 56.60% | 376,000 |
| 36 | Indiana | 56.70% | 643,000 |
| 37 | Arizona | 57.00% | 619,000 |
| 38 | New Jersey | 57.10% | 627,000 |
| 39 | Alabama | 57.30% | 454,000 |
| 40 | Maryland | 58.00% | 452,000 |
| 41 | Nevada | 58.00% | 305,000 |
| 42 | New York | 58.30% | 1,690,000 |
| 43 | Alaska | 58.70% | 66,000 |
| 44 | Mississippi | 59.30% | 265,000 |
| 45 | Louisiana | 59.60% | 453,000 |
| 46 | Texas | 60.70% | 2,148,000 |
| 47 | Wyoming | 61.70% | 64,000 |
| 48 | California | 61.80% | 3,617,000 |
| 49 | Florida | 63.50% | 1,823,000 |
| 50 | Georgia | 63.50% | 860,000 |
| 51 | Hawaii | 67.10% | 127,000 |
| 52 | National | 55.90% | 27,646,000 |
Almost a quarter (24.7%) 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 14.9% in Hawaii to 37.1% in the District of Columbia.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Hawaii | 14.90% | 28,000 |
| 02 | Louisiana | 18.40% | 139,000 |
| 03 | South Carolina | 19.70% | 150,000 |
| 04 | Montana | 21.50% | 37,000 |
| 05 | Minnesota | 21.60% | 187,000 |
| 06 | New Jersey | 21.60% | 238,000 |
| 07 | Massachusetts | 21.70% | 255,000 |
| 08 | New York | 21.70% | 628,000 |
| 09 | West Virginia | 22.20% | 82,000 |
| 10 | Florida | 22.40% | 643,000 |
| 11 | New Hampshire | 22.40% | 56,000 |
| 12 | New Mexico | 22.70% | 78,000 |
| 13 | Kentucky | 22.90% | 181,000 |
| 14 | Oklahoma | 22.90% | 152,000 |
| 15 | Wisconsin | 22.90% | 204,000 |
| 16 | Illinois | 23.20% | 422,000 |
| 17 | California | 23.50% | 1,379,000 |
| 18 | Connecticut | 23.50% | 120,000 |
| 19 | Texas | 24.00% | 845,000 |
| 20 | Washington | 24.00% | 341,000 |
| 21 | Georgia | 24.10% | 326,000 |
| 22 | Alaska | 24.40% | 28,000 |
| 23 | Wyoming | 24.50% | 25,000 |
| 24 | Arkansas | 24.70% | 114,000 |
| 25 | Ohio | 24.80% | 540,000 |
| 26 | Vermont | 25.20% | 29,000 |
| 27 | Mississippi | 25.30% | 113,000 |
| 28 | South Dakota | 25.30% | 27,000 |
| 29 | Rhode Island | 25.40% | 50,000 |
| 30 | North Dakota | 25.60% | 29,000 |
| 31 | Pennsylvania | 25.70% | 499,000 |
| 32 | Tennessee | 25.70% | 249,000 |
| 33 | Maine | 25.90% | 63,000 |
| 34 | Alabama | 26.70% | 212,000 |
| 35 | Indiana | 26.80% | 306,000 |
| 36 | Michigan | 26.80% | 419,000 |
| 37 | North Carolina | 27.20% | 423,000 |
| 38 | Nebraska | 27.60% | 76,000 |
| 39 | Virginia | 27.70% | 326,000 |
| 40 | Utah | 27.90% | 172,000 |
| 41 | Delaware | 28.10% | 45,000 |
| 42 | Arizona | 28.40% | 306,000 |
| 43 | Oregon | 28.80% | 231,000 |
| 44 | Idaho | 29.10% | 88,000 |
| 45 | Nevada | 29.30% | 154,000 |
| 46 | Missouri | 30.10% | 325,000 |
| 47 | Maryland | 30.20% | 236,000 |
| 48 | Colorado | 31.80% | 331,000 |
| 49 | Kansas | 32.60% | 145,000 |
| 50 | Iowa | 32.90% | 134,000 |
| 51 | District of Columbia | 37.10% | 50,000 |
| 52 | National | 24.70% | 12,236,000 |
29.67% of adults with a cognitive disability were not able to see a doctor due to costs.
According to the Centers for Disease Control (CDC), 12% of people in the U.S. had a cognitive disability, even when adjusted for age. The percentage of people with cognitive disability ranged from 8.9% in some states to 19.6%.
The prevalence of adults with cognitive disability who couldn't see a MD due to cost ranges from 18.48% in Rhode Island to 40.65% in Texas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | Rhode Island | 18.48 | 18,204 |
| 02 | Vermont | 20.33 | 9,346 |
| 03 | Connecticut | 20.59 | 52,774 |
| 04 | Iowa | 21.22 | 47,967 |
| 05 | Massachusetts | 21.68 | 122,701 |
| 06 | North Dakota | 22.25 | 12,879 |
| 07 | Wisconsin | 22.28 | 94,587 |
| 08 | Hawaii | 22.90 | 24,832 |
| 09 | Kentucky | 23.34 | 132,541 |
| 10 | West Virginia | 23.35 | 63,123 |
| 11 | Washington | 23.45 | 129,850 |
| 12 | Montana | 23.68 | 24,375 |
| 13 | Pennsylvania | 23.77 | 269,121 |
| 14 | Maryland | 23.87 | 102,734 |
| 15 | Nevada | 24.31 | 72,956 |
| 16 | New York | 24.53 | 351,676 |
| 17 | District of Columbia | 24.59 | 13,849 |
| 18 | New Jersey | 25.19 | * |
| 19 | California | 25.54 | 798,630 |
| 20 | South Dakota | 26.14 | 17,659 |
| 21 | New Mexico | 26.15 | 54,176 |
| 22 | Minnesota | 26.19 | 102,491 |
| 23 | Ohio | 26.99 | 290,259 |
| 24 | Maine | 27.34 | 39,967 |
| 25 | Michigan | 27.50 | 281,553 |
| 26 | Delaware | 27.59 | 21,424 |
| 27 | Louisiana | 27.79 | 155,929 |
| 28 | Idaho | 28.05 | 43,386 |
| 29 | Colorado | 28.69 | 111,500 |
| 30 | Nebraska | 29.48 | 37,445 |
| 31 | Alaska | 29.49 | 17,492 |
| 32 | Tennessee | 29.93 | 224,845 |
| 33 | New Hampshire | 30.40 | 35,528 |
| 34 | Arkansas | 30.53 | 117,147 |
| 35 | Indiana | 30.53 | 191,026 |
| 36 | Oregon | 30.67 | 118,469 |
| 37 | Virginia | 30.71 | 198,169 |
| 38 | Missouri | 30.88 | 192,461 |
| 39 | Arizona | 31.35 | 203,838 |
| 40 | Oklahoma | 31.52 | 138,679 |
| 41 | South Carolina | 31.70 | 161,528 |
| 42 | Illinois | 32.25 | 306,123 |
| 43 | North Carolina | 32.94 | 356,776 |
| 44 | Wyoming | 32.94 | 14,280 |
| 45 | Utah | 33.31 | 81,119 |
| 46 | Mississippi | 33.37 | 121,330 |
| 47 | Florida | 34.90 | 733,738 |
| 48 | Alabama | 38.35 | 233,440 |
| 49 | Kansas | 38.74 | 97,643 |
| 50 | Georgia | 39.18 | 370,081 |
| 51 | Texas | 40.65 | 954,935 |
| 52 | National | 29.67 | 8,496,389 |