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Variable outcomes: Contrasting patterns form US states over women’s health outcomes

Health outcomes for women vary widely across the U.S., showing some unexpected patterns.

Photo by Mikhail Nilov, Pexels
Photo by Mikhail Nilov, Pexels

With over 168 million women in the U.S., and over one-third of them skipping necessary medical care because of the cost, the non-profit organization SmileHub has released new reports on the Best States for Women’s Health in 2025 and the Best Charities for Health & Wellness.

To highlight the best states for women’s health and the ones that need to improve the most, SmileHub compared each of the 50 states based on 18 key metrics.

The data set ranged from the maternal mortality rate to the quality of women’s hospitals to the affordability of a doctor’s visit. Three key health dimensions were deployed for the assessment: 1) Health & Living Standards, 2) Health Care Policies & Support Systems and 3) Safety Risk.

The top ten ‘Best States for Women’s Health’ were found to be:

  1. Massachusetts
  2. Hawaii
  3. Connecticut
  4. New York
  5. New Jersey
  6. Maryland
  7. California
  8. Minnesota
  9. Vermont
  10. New Hampshire

In contrast, tipping to the other end of the scale, the top ten ‘States in Need of Improvement’ were established as:

  1. Georgia
  2. Louisiana
  3. West Virginia
  4. Tennessee
  5. Alabama
  6. Texas
  7. Mississippi
  8. Nevada
  9. Arkansas
  10. Oklahoma

Delving beyond the headline rankings, the data revealed that Massachusetts has the lowest uninsured rate among women – 7.9 times lower than in Texas, which has the highest rate. Health insurance is important in the U.S. for increasing life chances.

One of the biggest poor health issues is smoking (cigarettes or vaping). Utah has the lowest female smoker rate – 4.3 times lower than in West Virginia, which has the highest rate.

Two women sit on a bench looking at their phone in central Sydney. The Australian government says a new law aims to protect young people from the perils of social media
Two women sit on a bench looking at their phone in central Sydney. The Australian government says a new law aims to protect young people from the perils of social media – Copyright AFP/File DAVID GRAY

A very different measures is the maternal mortality rate (the number of women who die from pregnancy-related causes while pregnant or within 42 days of pregnancy termination). Here, California has the lowest maternal mortality rate – 4.4 times lower than in Alabama, which has the highest rate.

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Written By

Dr. Tim Sandle is Digital Journal's Editor-at-Large for science news. Tim specializes in science, technology, environmental, business, and health journalism. He is additionally a practising microbiologist; and an author. He is also interested in history, politics and current affairs.

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