Average Number of Poor Mental Health Days Reported in the Last 30 Days Among All Adults by Sex
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2025
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 5.087252 | 4.394233 | 5.751713 |
| Alabama | 5.084881 | 4.309294 | 5.796034 |
| Alaska | 4.833328 | 4.051811 | 5.700806 |
| Arizona | 4.865423 | 4.499474 | 5.220993 |
| Arkansas | 5.569713 | 5.005580 | 6.110081 |
| California | N/A | N/A | N/A |
| Colorado | 4.970066 | 4.546960 | 5.400035 |
| Connecticut | 4.995850 | 4.333118 | 5.625257 |
| Delaware | 4.604043 | 3.731329 | 5.395672 |
| District of Columbia | 5.369842 | 4.578097 | 6.041590 |
| Florida | 4.927921 | 4.242428 | 5.580517 |
| Georgia | 5.305540 | 4.568005 | 5.989515 |
| Hawaii | 4.079367 | 3.791372 | 4.362783 |
| Idaho | 4.416899 | 3.704203 | 5.127417 |
| Illinois | 4.536773 | 3.972445 | 5.079283 |
| Indiana | 5.759180 | 4.968834 | 6.521263 |
| Iowa | 4.703164 | 3.929318 | 5.473310 |
| Kansas | 5.123776 | 4.322310 | 5.917713 |
| Kentucky | 5.623533 | 4.772753 | 6.445522 |
| Louisiana | 5.878699 | 5.057870 | 6.646856 |
| Maine | 5.527287 | 4.558189 | 6.447739 |
| Maryland | 4.837200 | 4.109995 | 5.509734 |
| Massachusetts | 4.868825 | 4.254780 | 5.439376 |
| Michigan | 5.403799 | 4.617691 | 6.160693 |
| Minnesota | 4.712318 | 3.890871 | 5.525975 |
| Mississippi | N/A | N/A | N/A |
| Missouri | 5.445497 | 4.694371 | 6.153084 |
| Montana | 5.165518 | 4.292567 | 6.049764 |
| Nebraska | 4.404495 | 3.757711 | 5.047245 |
| Nevada | N/A | N/A | N/A |
| New Hampshire | 4.529510 | 3.863462 | 5.183772 |
| New Jersey | 4.364075 | 3.955142 | 4.749649 |
| New Mexico | 4.804083 | 4.274798 | 5.316006 |
| New York | 4.758995 | 4.206858 | 5.277493 |
| North Carolina | 4.642689 | 3.784034 | 5.448378 |
| North Dakota | 4.471144 | 3.531967 | 5.464405 |
| Ohio | 5.471395 | 4.658858 | 6.245249 |
| Oklahoma | 5.323083 | 4.280518 | 6.340388 |
| Oregon | 5.673660 | 4.768169 | 6.557681 |
| Pennsylvania | 5.700645 | 5.063402 | 6.304434 |
| Rhode Island | 5.097106 | 4.509124 | 5.645975 |
| South Carolina | 5.434726 | 4.676568 | 6.120476 |
| South Dakota | 4.540909 | 3.882077 | 5.217931 |
| Tennessee | 5.294077 | 4.244444 | 6.280758 |
| Texas | 5.192724 | 4.561996 | 5.811536 |
| Utah | 4.905972 | 4.353055 | 5.466664 |
| Vermont | 5.327359 | 4.522595 | 6.104213 |
| Virginia | 5.222948 | 4.386905 | 6.023847 |
| Washington | 5.188990 | 4.616812 | 5.761693 |
| West Virginia | 6.139718 | 5.173686 | 7.089524 |
| Wisconsin | 4.854166 | 4.062791 | 5.634317 |
| Wyoming | 5.393905 | 4.549886 | 6.270226 |
| Guam | 3.585827 | 3.305982 | 3.867125 |
| Puerto Rico | 3.317413 | 3.170891 | 3.445778 |
| U.S. Virgin Islands | N/A | N/A | N/A |
2024
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 4.92771 | 4.22643 | 5.60507 |
| Alabama | 5.39630 | 4.70462 | 6.03777 |
| Alaska | 4.92231 | 4.04695 | 5.90155 |
| Arizona | 4.63388 | 4.19150 | 5.06862 |
| Arkansas | 6.04901 | 5.17878 | 6.87671 |
| California | 4.73229 | 4.15673 | 5.29564 |
| Colorado | 4.87273 | 4.34551 | 5.41087 |
| Connecticut | 4.52487 | 3.63054 | 5.36640 |
| Delaware | 4.94091 | 3.84211 | 5.96275 |
| District of Columbia | 4.84015 | 4.27800 | 5.32094 |
| Florida | 4.94063 | 4.26220 | 5.58865 |
| Georgia | 5.14189 | 4.68272 | 5.56989 |
| Hawaii | 4.10059 | 3.92840 | 4.27262 |
| Idaho | 4.74087 | 4.08533 | 5.40556 |
| Illinois | 4.27168 | 3.52977 | 4.98689 |
| Indiana | 5.23904 | 4.47509 | 5.97590 |
| Iowa | 4.66571 | 3.93535 | 5.39652 |
| Kansas | 4.88946 | 4.18397 | 5.58985 |
| Kentucky | 5.59115 | 4.80461 | 6.34361 |
| Louisiana | 6.01838 | 5.07521 | 6.90242 |
| Maine | 5.22674 | 4.40138 | 6.01729 |
| Maryland | 4.56701 | 3.90193 | 5.18378 |
| Massachusetts | 4.54216 | 3.79453 | 5.23847 |
| Michigan | 5.31913 | 4.11468 | 6.48196 |
| Minnesota | 4.55069 | 3.75202 | 5.34491 |
| Mississippi | 4.38667 | 3.60000 | 5.11974 |
| Missouri | 5.37285 | 4.84276 | 5.88029 |
| Montana | 5.06847 | 4.03291 | 6.12357 |
| Nebraska | 4.33371 | 3.66725 | 4.99877 |
| Nevada | 5.47965 | 4.75541 | 6.20645 |
| New Hampshire | 4.73505 | 4.17459 | 5.29074 |
| New Jersey | 4.29833 | 3.61429 | 4.95276 |
| New Mexico | 5.44683 | 5.30253 | 5.58713 |
| New York | 4.53503 | 4.10623 | 4.93842 |
| North Carolina | 4.64349 | 3.63900 | 5.60451 |
| North Dakota | 4.19342 | 3.46654 | 4.96234 |
| Ohio | 5.33871 | 4.58651 | 6.05679 |
| Oklahoma | 5.56468 | 4.42092 | 6.68745 |
| Oregon | 5.77606 | 5.01651 | 6.52275 |
| Pennsylvania | 5.04653 | 4.34580 | 5.71303 |
| Rhode Island | 4.75720 | 4.22487 | 5.26102 |
| South Carolina | 4.73230 | 4.09053 | 5.32515 |
| South Dakota | 4.48344 | 3.82492 | 5.17079 |
| Tennessee | N/A | N/A | N/A |
| Texas | 5.09364 | 4.40976 | 5.76280 |
| Utah | 4.99340 | 4.02878 | 5.98497 |
| Vermont | 4.85878 | 4.28181 | 5.41627 |
| Virginia | 4.95355 | 4.00495 | 5.86858 |
| Washington | 5.19885 | 4.42123 | 5.98578 |
| West Virginia | 5.82292 | 5.19192 | 6.45045 |
| Wisconsin | 5.17029 | 4.34658 | 5.98541 |
| Wyoming | 4.78638 | 3.84997 | 5.77497 |
| Guam | 5.03764 | NSD | 5.39933 |
| Puerto Rico | 3.39247 | 2.98457 | 3.74868 |
| U.S. Virgin Islands | 3.91187 | 3.78803 | 4.02642 |
2023
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 4.906660 | 4.164536 | 5.606900 |
| Alabama | 5.107970 | 4.628218 | 5.541853 |
| Alaska | 4.782093 | 4.034389 | 5.591339 |
| Arizona | 4.688542 | 3.914012 | 5.436498 |
| Arkansas | 5.738803 | 4.875461 | 6.551363 |
| California | 4.580491 | 4.189353 | 4.952814 |
| Colorado | 5.118607 | 4.304585 | 5.930514 |
| Connecticut | 4.703189 | 4.196683 | 5.173545 |
| Delaware | 4.480582 | 3.557633 | 5.317620 |
| District of Columbia | 4.697741 | 4.172914 | 5.141887 |
| Florida | 4.648229 | 3.792892 | 5.442265 |
| Georgia | 4.931073 | 4.341878 | 5.467261 |
| Hawaii | 4.120241 | 3.707500 | 4.526915 |
| Idaho | 4.773677 | 3.694688 | 5.824045 |
| Illinois | 4.431539 | 3.737042 | 5.087203 |
| Indiana | 5.286519 | 4.117663 | 6.398248 |
| Iowa | 4.780397 | 3.974076 | 5.563677 |
| Kansas | 4.918692 | 4.132869 | 5.689340 |
| Kentucky | N/A | N/A | N/A |
| Louisiana | 5.800111 | 4.817748 | 6.702191 |
| Maine | 5.452162 | 4.330267 | 6.506318 |
| Maryland | 4.505750 | 3.818435 | 5.124607 |
| Massachusetts | 4.806677 | 3.989633 | 5.550929 |
| Michigan | 5.448535 | 4.699214 | 6.160242 |
| Minnesota | 4.574167 | 3.705233 | 5.415267 |
| Mississippi | 4.902330 | 4.259430 | 5.487768 |
| Missouri | 5.103624 | 4.068763 | 6.076188 |
| Montana | 5.336942 | 4.450396 | 6.215956 |
| Nebraska | 4.248267 | 3.375191 | 5.097706 |
| Nevada | 6.005920 | 5.459500 | 6.542075 |
| New Hampshire | 4.931815 | 3.976929 | 5.861309 |
| New Jersey | 4.422668 | 3.779152 | 5.015854 |
| New Mexico | 4.892134 | 4.619507 | 5.153464 |
| New York | 4.579812 | 3.947914 | 5.158861 |
| North Carolina | 4.701133 | 3.832206 | 5.501496 |
| North Dakota | 4.215292 | 3.231776 | 5.243217 |
| Ohio | 5.347092 | 4.455929 | 6.181710 |
| Oklahoma | 5.282932 | 4.525630 | 6.009800 |
| Oregon | 5.397691 | 4.466839 | 6.295100 |
| Pennsylvania | N/A | N/A | N/A |
| Rhode Island | 4.980168 | 3.964041 | 5.903516 |
| South Carolina | 5.016409 | 4.401630 | 5.573558 |
| South Dakota | 4.376771 | 4.094149 | 4.662011 |
| Tennessee | 5.952385 | 4.578744 | 7.226812 |
| Texas | 5.101045 | 4.251399 | 5.921933 |
| Utah | 5.204742 | 4.479221 | 5.923758 |
| Vermont | 4.954204 | 4.200311 | 5.672937 |
| Virginia | 4.919549 | 4.321167 | 5.478173 |
| Washington | 5.110367 | 4.390338 | 5.817390 |
| West Virginia | 6.565420 | 5.289874 | 7.804073 |
| Wisconsin | 4.720921 | 3.884511 | 5.532236 |
| Wyoming | 4.672611 | 3.862138 | 5.499423 |
| Guam | 5.604971 | 4.709331 | 6.520908 |
| Puerto Rico | 4.075818 | 3.470943 | 4.603889 |
| U.S. Virgin Islands | 3.674 | 3.493 | 3.844 |
2022
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 4.515641 | 3.768117 | 5.226831 |
| Alabama | 4.888289 | 4.129881 | 5.465122 |
| Alaska | 4.265252 | 3.417101 | 5.181677 |
| Arizona | 4.591003 | 3.845962 | 5.293912 |
| Arkansas | 5.139211 | 4.522799 | 5.694693 |
| California | 4.661037 | 4.095151 | 5.291565 |
| Colorado | 4.507520 | 3.888618 | 5.121105 |
| Connecticut | 3.967021 | 3.423141 | 4.494783 |
| Delaware | 3.942662 | 3.202158 | 4.545024 |
| District of Columbia | 4.155555 | 3.581712 | 4.627559 |
| Florida | 4.163232 | 3.488848 | 4.795032 |
| Georgia | 4.446716 | 3.811611 | 4.998486 |
| Hawaii | 3.626526 | 3.188221 | 4.018878 |
| Idaho | 4.349535 | 3.612784 | 5.054748 |
| Illinois | 4.264622 | 3.638519 | 4.894953 |
| Indiana | 4.693021 | 3.755446 | 5.558894 |
| Iowa | 3.961070 | 3.001789 | 4.938886 |
| Kansas | 4.271811 | 3.375250 | 5.114424 |
| Kentucky | 4.682862 | 4.147563 | 5.170191 |
| Louisiana | 5.463320 | 4.318218 | 6.434520 |
| Maine | 4.339923 | 3.760012 | 4.837874 |
| Maryland | 4.022635 | 3.169207 | 4.761568 |
| Massachusetts | 4.269701 | 3.523351 | 4.965075 |
| Michigan | 4.525705 | 3.723156 | 5.243876 |
| Minnesota | 3.898973 | 3.186613 | 4.589839 |
| Mississippi | 4.490570 | 3.863804 | 4.980004 |
| Missouri | 4.812283 | 3.677644 | 5.901548 |
| Montana | 4.373143 | 3.713163 | 5.138202 |
| Nebraska | 3.715272 | 2.842263 | 4.534844 |
| Nevada | 4.688033 | 3.958228 | 5.385795 |
| New Hampshire | 4.129835 | 3.585343 | 4.602642 |
| New Jersey | 4.022308 | 3.460877 | 4.558341 |
| New Mexico | 4.629065 | 4.249490 | 4.953371 |
| New York | 4.379942 | 3.829795 | 4.881113 |
| North Carolina | 4.343466 | 3.433147 | 5.147324 |
| North Dakota | 3.657725 | 2.868174 | 4.534573 |
| Ohio | 4.974402 | 4.282007 | 5.605721 |
| Oklahoma | 5.129202 | 4.254158 | 5.884785 |
| Oregon | 5.087223 | 4.338010 | 5.810548 |
| Pennsylvania | 4.468920 | 3.635710 | 5.254629 |
| Rhode Island | 3.976931 | 3.436021 | 4.457766 |
| South Carolina | 4.145115 | 3.636275 | 4.588973 |
| South Dakota | 3.440658 | 3.195153 | 3.697675 |
| Tennessee | 5.390226 | 4.146685 | 6.542996 |
| Texas | 4.778416 | 3.767173 | 5.840066 |
| Utah | 4.670157 | 3.845134 | 5.526885 |
| Vermont | 4.130862 | 3.360932 | 4.852624 |
| Virginia | 4.558019 | 3.623780 | 5.343080 |
| Washington | 4.506796 | 3.715165 | 5.257525 |
| West Virginia | 5.895651 | 4.731242 | 6.806488 |
| Wisconsin | 4.273560 | 3.530525 | 4.985039 |
| Wyoming | 4.106000 | 3.231746 | 4.959112 |
| Guam | 3.886383 | 3.779820 | 3.994480 |
| Puerto Rico | 4.111010 | 3.188639 | 4.706924 |
| U.S. Virgin Islands | N/A | N/A | N/A |
2021
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 4.3 | 3.5 | 5.0 |
| Alabama | 4.8 | 3.9 | 5.5 |
| Alaska | 4.1 | 3.6 | 4.7 |
| Arizona | 4.4 | 3.6 | 5.2 |
| Arkansas | 4.9 | 4.0 | 5.6 |
| California | 4.4 | 3.7 | 5.2 |
| Colorado | 4.2 | 3.6 | 4.9 |
| Connecticut | 3.8 | 3.0 | 4.6 |
| Delaware | 3.9 | 2.7 | 4.9 |
| District of Columbia | 4.1 | 3.6 | 4.6 |
| Florida | N/A | N/A | N/A |
| Georgia | 4.3 | 3.6 | 4.9 |
| Hawaii | 3.5 | 3.0 | 3.9 |
| Idaho | 4.2 | 3.4 | 5.0 |
| Illinois | 3.7 | 3.3 | 4.2 |
| Indiana | 4.4 | 3.4 | 5.3 |
| Iowa | 3.9 | 3.0 | 4.8 |
| Kansas | 4.2 | 3.2 | 5.1 |
| Kentucky | 4.9 | 4.0 | 5.8 |
| Louisiana | 4.9 | 3.8 | 5.9 |
| Maine | 4.1 | 3.3 | 4.7 |
| Maryland | 3.8 | 3.1 | 4.4 |
| Massachusetts | 4.1 | 3.2 | 4.8 |
| Michigan | 4.5 | 3.5 | 5.3 |
| Minnesota | 3.7 | 3.1 | 4.3 |
| Mississippi | 4.2 | 3.5 | 4.8 |
| Missouri | 4.6 | 3.8 | 5.4 |
| Montana | 3.9 | 3.3 | 4.6 |
| Nebraska | 3.8 | 3.1 | 4.3 |
| Nevada | 4.9 | 4.4 | 5.3 |
| New Hampshire | 3.9 | 3.2 | 4.6 |
| New Jersey | 3.9 | 3.3 | 4.6 |
| New Mexico | 4.5 | 3.6 | 5.4 |
| New York | 3.9 | 3.4 | 4.4 |
| North Carolina | 3.9 | 3.3 | 4.5 |
| North Dakota | 3.2 | 2.5 | 3.9 |
| Ohio | 4.7 | 3.8 | 5.4 |
| Oklahoma | 4.8 | 3.7 | 5.8 |
| Oregon | 4.8 | 3.9 | 5.6 |
| Pennsylvania | 4.2 | 3.5 | 4.8 |
| Rhode Island | 3.9 | 3.2 | 4.5 |
| South Carolina | 4.3 | 3.4 | 5.2 |
| South Dakota | 3.5 | 2.9 | 4.2 |
| Tennessee | 5.2 | 4.1 | 6.1 |
| Texas | 4.3 | 3.6 | 5.0 |
| Utah | 4.8 | 3.8 | 5.8 |
| Vermont | 4.3 | 3.7 | 4.9 |
| Virginia | 4.1 | 3.0 | 5.0 |
| Washington | 4.6 | 3.8 | 5.4 |
| West Virginia | 5.5 | 4.3 | 6.6 |
| Wisconsin | 3.9 | 2.9 | 4.7 |
| Wyoming | 4.1 | 3.3 | 4.9 |
| Guam | 3.2 | 3.0 | 3.3 |
| Puerto Rico | 3.5 | 2.9 | 3.9 |
| U.S. Virgin Islands | N/A | N/A | N/A |
2020
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 4.1 | 3.3 | 4.8 |
| Alabama | 4.5 | 3.4 | 5.3 |
| Alaska | 3.3 | 2.2 | 4.4 |
| Arizona | 4.1 | 3.4 | 4.8 |
| Arkansas | 4.6 | 3.6 | 5.5 |
| California | 4.2 | 3.7 | 4.8 |
| Colorado | 4.0 | 3.1 | 4.8 |
| Connecticut | 3.7 | 3.1 | 4.2 |
| Delaware | 3.8 | 3.2 | 4.3 |
| District of Columbia | 4.5 | 3.7 | 5.2 |
| Florida | 3.7 | 2.9 | 4.4 |
| Georgia | 4.2 | 3.4 | 4.8 |
| Hawaii | 3.4 | 2.8 | 4.0 |
| Idaho | 3.8 | 3.1 | 4.4 |
| Illinois | 3.1 | 2.8 | 3.5 |
| Indiana | 4.4 | 3.4 | 5.3 |
| Iowa | 3.8 | 2.9 | 4.7 |
| Kansas | 3.9 | 3.0 | 4.8 |
| Kentucky | 5.1 | 4.1 | 6.0 |
| Louisiana | 4.9 | 4.0 | 5.8 |
| Maine | 3.7 | 3.0 | 4.3 |
| Maryland | 3.8 | 3.0 | 4.4 |
| Massachusetts | 3.9 | 3.1 | 4.6 |
| Michigan | 4.6 | 3.5 | 5.5 |
| Minnesota | 3.7 | 2.9 | 4.5 |
| Mississippi | 3.9 | 2.7 | 4.9 |
| Missouri | 4.4 | 3.3 | 5.3 |
| Montana | 3.7 | 2.9 | 4.5 |
| Nebraska | 3.4 | 2.7 | 4.1 |
| Nevada | 5.1 | 4.4 | 5.7 |
| New Hampshire | 4.0 | 3.1 | 4.9 |
| New Jersey | 3.8 | 3.0 | 4.6 |
| New Mexico | 4.0 | 3.3 | 4.6 |
| New York | 4.0 | 3.2 | 4.6 |
| North Carolina | 3.8 | 3.0 | 4.4 |
| North Dakota | 3.2 | 2.5 | 3.9 |
| Ohio | 4.5 | 3.6 | 5.4 |
| Oklahoma | 4.7 | 3.7 | 5.4 |
| Oregon | 4.3 | 3.4 | 5.1 |
| Pennsylvania | 4.2 | 3.3 | 5.1 |
| Rhode Island | 4.0 | 3.2 | 4.6 |
| South Carolina | 4.2 | 3.2 | 5.1 |
| South Dakota | 2.9 | 2.0 | 3.7 |
| Tennessee | 4.7 | 3.9 | 5.3 |
| Texas | 4.1 | 3.5 | 4.7 |
| Utah | 4.5 | 3.5 | 5.5 |
| Vermont | 4.2 | 3.3 | 5.0 |
| Virginia | 3.7 | 2.8 | 4.5 |
| Washington | 4.3 | 3.4 | 5.1 |
| West Virginia | 5.2 | 4.2 | 6.1 |
| Wisconsin | 3.7 | 2.8 | 4.6 |
| Wyoming | 3.6 | 2.8 | 4.5 |
| Guam | 3.1 | 2.5 | 3.6 |
| Puerto Rico | 3.3 | 2.6 | 3.8 |
| U.S. Virgin Islands | N/A | N/A | N/A |
2019
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 4.3 | 3.7 | 4.9 |
| Alabama | 5.4 | 4.6 | 6.1 |
| Alaska | 3.9 | 3.3 | 4.6 |
| Arizona | 4.5 | 4.1 | 4.9 |
| Arkansas | 5.4 | 4.2 | 6.5 |
| California | 3.8 | 3.4 | 4.2 |
| Colorado | 4.0 | 3.6 | 4.4 |
| Connecticut | 3.8 | 3.4 | 4.2 |
| Delaware | 4.3 | 3.6 | 5.0 |
| District of Columbia | 4.2 | 3.5 | 4.8 |
| Florida | 4.4 | 3.7 | 5.0 |
| Georgia | 4.8 | 4.3 | 5.2 |
| Hawaii | 3.6 | 3.4 | 3.8 |
| Idaho | 4.3 | 3.7 | 4.9 |
| Illinois | 4.1 | 3.5 | 4.6 |
| Indiana | 4.6 | 3.6 | 5.6 |
| Iowa | 4.0 | 3.2 | 4.7 |
| Kansas | 4.4 | 3.6 | 5.2 |
| Kentucky | 5.3 | 4.5 | 6.1 |
| Louisiana | 5.5 | 4.8 | 6.1 |
| Maine | 4.3 | 3.8 | 4.8 |
| Maryland | 3.9 | 3.5 | 4.3 |
| Massachusetts | 4.1 | 3.5 | 4.7 |
| Michigan | 5.0 | 4.1 | 5.8 |
| Minnesota | 3.8 | 3.2 | 4.4 |
| Mississippi | 5.2 | 4.6 | 5.8 |
| Missouri | 4.7 | 3.9 | 5.4 |
| Montana | 4.4 | 3.7 | 5.2 |
| Nebraska | 3.7 | 2.9 | 4.5 |
| Nevada | 4.6 | 3.7 | 5.4 |
| New Hampshire | 4.4 | 3.7 | 5.1 |
| New Jersey | N/A | N/A | N/A |
| New Mexico | 4.6 | 3.8 | 5.3 |
| New York | 3.8 | 3.4 | 4.2 |
| North Carolina | 4.3 | 3.6 | 4.9 |
| North Dakota | 3.7 | 2.8 | 4.5 |
| Ohio | 5.0 | 4.3 | 5.6 |
| Oklahoma | 4.9 | 3.9 | 5.8 |
| Oregon | 4.4 | 3.6 | 5.1 |
| Pennsylvania | 4.4 | 3.5 | 5.2 |
| Rhode Island | 4.4 | 3.9 | 4.9 |
| South Carolina | 4.3 | 3.3 | 5.3 |
| South Dakota | 3.6 | 2.9 | 4.2 |
| Tennessee | 4.9 | 3.9 | 5.9 |
| Texas | 4.0 | 3.4 | 4.5 |
| Utah | 4.6 | 3.6 | 5.5 |
| Vermont | 4.5 | 4.0 | 4.9 |
| Virginia | 4.0 | 3.4 | 4.6 |
| Washington | 4.4 | 3.6 | 5.1 |
| West Virginia | 6.2 | 5.5 | 6.8 |
| Wisconsin | 4.2 | 3.8 | 4.6 |
| Wyoming | 4.0 | 3.3 | 4.7 |
| Guam | 4.3 | 3.9 | 4.8 |
| Puerto Rico | 3.5 | 3.3 | 3.6 |
| U.S. Virgin Islands | N/A | N/A | N/A |
2018
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 4.1 | 3.4 | 4.6 |
| Alabama | 4.8 | 3.9 | 5.6 |
| Alaska | 3.8 | 3.0 | 4.6 |
| Arizona | 3.9 | 3.4 | 4.4 |
| Arkansas | 5.0 | 3.8 | 6.2 |
| California | 3.7 | 3.2 | 4.2 |
| Colorado | 3.6 | 2.9 | 4.4 |
| Connecticut | 3.7 | 3.0 | 4.2 |
| Delaware | 3.9 | 3.1 | 4.7 |
| District of Columbia | 4.1 | 3.8 | 4.4 |
| Florida | 4.0 | 3.5 | 4.4 |
| Georgia | 4.1 | 3.5 | 4.8 |
| Hawaii | 3.3 | 3.2 | 3.3 |
| Idaho | 3.9 | 2.9 | 4.9 |
| Illinois | 3.8 | 3.3 | 4.2 |
| Indiana | 4.5 | 3.8 | 5.2 |
| Iowa | 3.4 | 2.8 | 4.0 |
| Kansas | 4.0 | 3.2 | 4.7 |
| Kentucky | 4.9 | 4.1 | 5.7 |
| Louisiana | 4.9 | 4.4 | 5.3 |
| Maine | 4.6 | 3.7 | 5.3 |
| Maryland | 3.6 | 2.9 | 4.3 |
| Massachusetts | 4.2 | 3.5 | 4.8 |
| Michigan | 4.5 | 3.7 | 5.3 |
| Minnesota | 3.4 | 2.9 | 3.9 |
| Mississippi | 4.7 | 4.2 | 5.2 |
| Missouri | 4.4 | 3.4 | 5.3 |
| Montana | 3.7 | 3.0 | 4.4 |
| Nebraska | 3.6 | 2.9 | 4.2 |
| Nevada | 4.0 | 3.0 | 5.0 |
| New Hampshire | 4.2 | 3.5 | 5.0 |
| New Jersey | 3.8 | 3.4 | 4.2 |
| New Mexico | 4.4 | 3.9 | 4.8 |
| New York | 3.6 | 3.1 | 4.0 |
| North Carolina | 4.0 | 3.2 | 4.7 |
| North Dakota | 3.8 | 3.2 | 4.3 |
| Ohio | 4.6 | 3.8 | 5.3 |
| Oklahoma | 4.8 | 4.0 | 5.5 |
| Oregon | 4.6 | 3.9 | 5.4 |
| Pennsylvania | 4.5 | 3.5 | 5.3 |
| Rhode Island | 4.0 | 3.5 | 4.6 |
| South Carolina | 4.6 | 3.9 | 5.1 |
| South Dakota | 3.2 | 2.7 | 3.5 |
| Tennessee | 5.0 | 4.0 | 6.0 |
| Texas | 3.8 | 3.4 | 4.1 |
| Utah | 4.0 | 3.4 | 4.7 |
| Vermont | 3.9 | 3.2 | 4.7 |
| Virginia | 3.9 | 3.3 | 4.5 |
| Washington | 3.9 | 3.5 | 4.3 |
| West Virginia | 5.6 | 4.8 | 6.4 |
| Wisconsin | 3.9 | 3.1 | 4.7 |
| Wyoming | 3.8 | 3.3 | 4.3 |
| Guam | 3.1 | 3.1 | 3.1 |
| Puerto Rico | 4.0 | 3.5 | 4.5 |
| U.S. Virgin Islands | N/A | N/A | N/A |
2017
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 4.0 | 3.4 | 4.6 |
| Alabama | 4.8 | 4.2 | 5.3 |
| Alaska | 3.8 | 3.7 | 3.9 |
| Arizona | 3.9 | 3.5 | 4.3 |
| Arkansas | 5.1 | 4.6 | 5.5 |
| California | 3.5 | 3.1 | 3.9 |
| Colorado | 3.8 | 3.3 | 4.3 |
| Connecticut | 3.4 | 2.9 | 3.8 |
| Delaware | 4.1 | 3.7 | 4.5 |
| District of Columbia | 3.3 | 2.9 | 3.6 |
| Florida | 3.9 | 3.5 | 4.2 |
| Georgia | 3.8 | 3.4 | 4.2 |
| Hawaii | 3.2 | 3.0 | 3.3 |
| Idaho | 3.6 | 3.0 | 4.1 |
| Illinois | 3.8 | 3.2 | 4.3 |
| Indiana | 4.6 | 3.6 | 5.6 |
| Iowa | 3.5 | 2.7 | 4.3 |
| Kansas | 3.7 | 3.0 | 4.3 |
| Kentucky | 4.9 | 4.5 | 5.3 |
| Louisiana | 5.0 | 4.1 | 5.9 |
| Maine | 4.2 | 3.6 | 4.7 |
| Maryland | 3.7 | 3.0 | 4.3 |
| Massachusetts | 3.9 | 3.1 | 4.6 |
| Michigan | 4.3 | 3.4 | 5.1 |
| Minnesota | 3.0 | 2.5 | 3.6 |
| Mississippi | 4.9 | 4.1 | 5.7 |
| Missouri | 4.3 | 3.3 | 5.2 |
| Montana | 3.6 | 3.1 | 4.0 |
| Nebraska | 3.4 | 2.7 | 4.2 |
| Nevada | 3.5 | 2.9 | 4.1 |
| New Hampshire | 3.8 | 2.9 | 4.7 |
| New Jersey | 3.9 | 3.3 | 4.4 |
| New Mexico | 4.3 | 3.6 | 5.1 |
| New York | 3.9 | 3.5 | 4.3 |
| North Carolina | 4.1 | 3.5 | 4.6 |
| North Dakota | 3.4 | 2.8 | 4.1 |
| Ohio | 4.4 | 3.9 | 5.0 |
| Oklahoma | 4.7 | 3.6 | 5.8 |
| Oregon | 4.6 | 4.0 | 5.3 |
| Pennsylvania | 4.2 | 3.8 | 4.7 |
| Rhode Island | 4.5 | 4.1 | 4.8 |
| South Carolina | 4.4 | 3.6 | 5.2 |
| South Dakota | 3.1 | 2.5 | 3.7 |
| Tennessee | 4.3 | 3.3 | 5.2 |
| Texas | 3.8 | 2.9 | 4.7 |
| Utah | 3.9 | 3.0 | 4.8 |
| Vermont | 4.3 | 3.7 | 4.8 |
| Virginia | 3.7 | 3.2 | 4.3 |
| Washington | 4.1 | 3.3 | 4.8 |
| West Virginia | 5.2 | 4.5 | 5.9 |
| Wisconsin | 3.8 | 3.1 | 4.5 |
| Wyoming | 3.6 | 2.8 | 4.5 |
| Guam | 3.8 | 3.6 | 4.1 |
| Puerto Rico | 4.3 | 4.1 | 4.4 |
| U.S. Virgin Islands | N/A | N/A | N/A |
2016
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 3.762629699 | 3.14866055 | 4.342124611 |
| Alabama | 4.481227033 | 3.911434462 | 5.002208225 |
| Alaska | 3.474672374 | 2.820688162 | 4.204335579 |
| Arizona | 3.79144905 | 3.356098633 | 4.213275239 |
| Arkansas | 5.011947251 | 4.406786165 | 5.581697121 |
| California | 3.53687514 | 3.006324051 | 4.049466045 |
| Colorado | 3.589863413 | 2.983735399 | 4.193203706 |
| Connecticut | 3.652530014 | 3.287000575 | 3.994323612 |
| Delaware | 3.565139682 | 3.022808223 | 4.058572229 |
| District of Columbia | 3.392815099 | 2.94162813 | 3.750206914 |
| Florida | 3.568342207 | 3.031527976 | 4.069248135 |
| Georgia | 3.758098205 | 3.249034027 | 4.218517726 |
| Hawaii | 3.119027057 | 2.831930896 | 3.412148208 |
| Idaho | 3.547580618 | 2.787085456 | 4.300646837 |
| Illinois | 3.438678068 | 3.02973268 | 3.823707677 |
| Indiana | 4.206810249 | 3.580830909 | 4.800214427 |
| Iowa | 3.266264731 | 2.577848366 | 3.936160844 |
| Kansas | 3.243509937 | 2.577375922 | 3.88328714 |
| Kentucky | 4.597971008 | 3.719628763 | 5.42959972 |
| Louisiana | 4.174686237 | 3.45264218 | 4.850787567 |
| Maine | 4.063399838 | 3.713259757 | 4.39287654 |
| Maryland | 3.37541129 | 2.83551581 | 3.86973112 |
| Massachusetts | 3.885016599 | 3.423995823 | 4.277219878 |
| Michigan | 4.254070837 | 3.548612706 | 4.92015755 |
| Minnesota | 3.115392252 | 2.503583014 | 3.707146698 |
| Mississippi | 4.311724609 | 3.361599348 | 5.181719731 |
| Missouri | 4.168893016 | 3.502091981 | 4.779452708 |
| Montana | 3.383393814 | 2.778405311 | 3.990531855 |
| Nebraska | 3.173330881 | 2.370717381 | 3.956304886 |
| Nevada | 4.41546556 | 3.761098504 | 5.068100136 |
| New Hampshire | 3.957728523 | 3.141798212 | 4.737470799 |
| New Jersey | 3.416462986 | 2.946754786 | 3.857706742 |
| New Mexico | 3.941714841 | 3.642819645 | 4.230550672 |
| New York | 3.533600994 | 3.125631328 | 3.904441594 |
| North Carolina | 3.823576827 | 3.154435191 | 4.442560259 |
| North Dakota | 3.078578966 | 2.729976462 | 3.442206882 |
| Ohio | 4.090839738 | 3.210632057 | 4.91878197 |
| Oklahoma | 4.363943484 | 3.758349319 | 4.946150795 |
| Oregon | 4.276638368 | 3.573704338 | 4.946226158 |
| Pennsylvania | 4.186710779 | 3.27452669 | 5.039487242 |
| Rhode Island | 4.183838135 | 3.794031817 | 4.54143234 |
| South Carolina | 4.272169786 | 3.427321841 | 5.03919279 |
| South Dakota | 2.80109427 | 2.198757509 | 3.405563662 |
| Tennessee | 4.37569829 | 3.455727685 | 5.219630414 |
| Texas | 3.418299301 | 2.718455531 | 4.088440992 |
| Utah | 3.754076341 | 2.919724253 | 4.574742259 |
| Vermont | 3.892168542 | 3.483927648 | 4.281749593 |
| Virginia | 3.404470506 | 2.72195928 | 4.052102881 |
| Washington | 3.748251285 | 3.163502219 | 4.32516349 |
| West Virginia | 5.030364754 | 4.372146318 | 5.666219657 |
| Wisconsin | 3.717942902 | 3.116575768 | 4.303273916 |
| Wyoming | 3.626581971 | 2.798760765 | 4.486707779 |
| Guam | 3.802565525 | 3.672423708 | 3.938485818 |
| Puerto Rico | 3.76822691 | 3.358857408 | 4.126024683 |
| U.S. Virgin Islands | 2.773964832 | 2.314367459 | 3.175466795 |
2015
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 3.7 | 3.2 | 4.2 |
| Alabama | 4.3 | 3.5 | 5.0 |
| Alaska | 3.5 | 3.1 | 4.0 |
| Arizona | 3.8 | 3.5 | 4.0 |
| Arkansas | 4.7 | 4.2 | 5.1 |
| California | 3.6 | 3.1 | 4.0 |
| Colorado | 3.5 | 3.1 | 3.8 |
| Connecticut | 3.6 | 3.1 | 4.1 |
| Delaware | 3.6 | 3.0 | 4.1 |
| District of Columbia | 3.5 | 2.9 | 4.0 |
| Florida | 4.1 | 3.7 | 4.5 |
| Georgia | 3.7 | 3.3 | 4.1 |
| Hawaii | 2.9 | 2.9 | 2.9 |
| Idaho | 3.4 | 2.8 | 4.0 |
| Illinois | 3.4 | 3.0 | 3.8 |
| Indiana | 4.0 | 3.3 | 4.7 |
| Iowa | 3.2 | 2.6 | 3.7 |
| Kansas | 3.2 | 2.5 | 3.9 |
| Kentucky | 4.3 | 3.6 | 4.9 |
| Louisiana | 4.3 | 3.8 | 4.8 |
| Maine | 3.8 | 3.2 | 4.4 |
| Maryland | 3.4 | 2.9 | 3.8 |
| Massachusetts | 3.9 | 3.4 | 4.3 |
| Michigan | 3.8 | 3.2 | 4.4 |
| Minnesota | 2.9 | 2.4 | 3.4 |
| Mississippi | 4.5 | 3.8 | 5.1 |
| Missouri | 4.0 | 3.1 | 4.9 |
| Montana | 3.4 | 2.9 | 3.9 |
| Nebraska | 2.9 | 2.3 | 3.5 |
| Nevada | 3.8 | 3.2 | 4.3 |
| New Hampshire | 3.5 | 2.8 | 4.1 |
| New Jersey | 3.3 | 2.8 | 3.8 |
| New Mexico | 3.7 | 3.3 | 4.0 |
| New York | 3.7 | 3.3 | 4.0 |
| North Carolina | 3.7 | 3.1 | 4.3 |
| North Dakota | 3.3 | 2.6 | 3.9 |
| Ohio | 3.9 | 3.1 | 4.6 |
| Oklahoma | 4.1 | 3.4 | 4.6 |
| Oregon | 4.5 | 3.7 | 5.2 |
| Pennsylvania | 3.8 | 2.9 | 4.6 |
| Rhode Island | 4.1 | 3.9 | 4.2 |
| South Carolina | 4.3 | 3.7 | 4.7 |
| South Dakota | 2.4 | 2.0 | 2.9 |
| Tennessee | 4.3 | 3.7 | 4.9 |
| Texas | 3.2 | 2.8 | 3.6 |
| Utah | 3.6 | 2.9 | 4.3 |
| Vermont | 3.5 | 3.2 | 3.8 |
| Virginia | 3.2 | 2.7 | 3.8 |
| Washington | 3.7 | 3.2 | 4.1 |
| West Virginia | 4.7 | 3.8 | 5.4 |
| Wisconsin | 3.4 | 2.9 | 3.8 |
| Wyoming | 3.6 | 3.2 | 4.0 |
| Guam | 3.5 | 3.5 | 3.5 |
| Puerto Rico | 3.8 | 3.4 | 4.1 |
| U.S. Virgin Islands | N/A | N/A | N/A |
2014
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 3.7 | 3.1 | 4.2 |
| Alabama | 4.6 | 3.7 | 5.5 |
| Alaska | 3.1 | 2.6 | 3.5 |
| Arizona | 3.6 | 3.2 | 4.0 |
| Arkansas | 4.4 | 3.7 | 5.0 |
| California | 3.6 | 2.9 | 4.2 |
| Colorado | 3.2 | 2.7 | 3.7 |
| Connecticut | 3.6 | 3.0 | 4.2 |
| Delaware | 3.5 | 3.2 | 3.9 |
| District of Columbia | 3.4 | 3.0 | 3.7 |
| Florida | 3.8 | 3.2 | 4.3 |
| Georgia | 4.0 | 3.4 | 4.5 |
| Hawaii | 2.7 | 2.7 | 2.8 |
| Idaho | 3.2 | 2.3 | 4.1 |
| Illinois | 3.6 | 3.0 | 4.1 |
| Indiana | 4.1 | 3.4 | 4.8 |
| Iowa | 3.0 | 2.4 | 3.6 |
| Kansas | 3.0 | 2.5 | 3.5 |
| Kentucky | 4.5 | 3.8 | 5.1 |
| Louisiana | 3.9 | 3.1 | 4.7 |
| Maine | 3.8 | 3.1 | 4.5 |
| Maryland | 3.3 | 2.9 | 3.7 |
| Massachusetts | 3.9 | 3.4 | 4.3 |
| Michigan | 4.1 | 3.6 | 4.7 |
| Minnesota | 2.8 | 2.3 | 3.3 |
| Mississippi | 4.2 | 3.4 | 4.9 |
| Missouri | 3.6 | 2.7 | 4.5 |
| Montana | 3.3 | 2.7 | 3.9 |
| Nebraska | 2.8 | 2.3 | 3.3 |
| Nevada | 3.4 | 2.8 | 4.0 |
| New Hampshire | 3.5 | 3.0 | 3.9 |
| New Jersey | 3.4 | 2.8 | 3.9 |
| New Mexico | 3.9 | 3.5 | 4.3 |
| New York | 3.7 | 3.3 | 4.0 |
| North Carolina | 3.6 | 3.1 | 4.1 |
| North Dakota | 2.8 | 2.3 | 3.4 |
| Ohio | 4.1 | 3.4 | 4.8 |
| Oklahoma | 4.1 | 3.5 | 4.6 |
| Oregon | 4.1 | 3.5 | 4.6 |
| Pennsylvania | 3.9 | 3.6 | 4.3 |
| Rhode Island | 3.6 | 3.1 | 4.0 |
| South Carolina | 4.2 | 3.4 | 4.8 |
| South Dakota | 2.7 | 2.2 | 3.1 |
| Tennessee | 4.8 | 4.1 | 5.4 |
| Texas | 3.0 | 2.5 | 3.5 |
| Utah | 3.5 | 2.6 | 4.3 |
| Vermont | 3.4 | 3.0 | 3.8 |
| Virginia | 3.3 | 2.7 | 3.8 |
| Washington | 3.7 | 2.9 | 4.4 |
| West Virginia | 4.6 | 4.0 | 5.2 |
| Wisconsin | 3.6 | 3.0 | 4.2 |
| Wyoming | 3.3 | 2.4 | 4.1 |
| Guam | 3.4 | 3.3 | 3.5 |
| Puerto Rico | 3.7 | 3.5 | 4.0 |
| U.S. Virgin Islands | N/A | N/A | N/A |
2013
| Location | All Adults | Male | Female |
|---|---|---|---|
| United States | 3.7 | 3.1 | 4.2 |
| Alabama | 4.4 | 3.6 | 5.3 |
| Alaska | 3.1 | 2.4 | 3.8 |
| Arizona | 3.9 | 3.2 | 4.5 |
| Arkansas | 4.4 | 3.4 | 5.4 |
| California | 3.8 | 3.5 | 4.1 |
| Colorado | 3.3 | 2.7 | 3.9 |
| Connecticut | 3.5 | 2.9 | 4.0 |
| Delaware | 3.6 | 3.0 | 4.2 |
| District of Columbia | 3.6 | 3.6 | 3.5 |
| Florida | 4.1 | 3.5 | 4.6 |
| Georgia | 3.4 | 3.1 | 3.8 |
| Hawaii | 2.7 | 2.6 | 2.9 |
| Idaho | 3.7 | 2.8 | 4.5 |
| Illinois | 3.7 | 3.1 | 4.2 |
| Indiana | 4.0 | 3.3 | 4.7 |
| Iowa | 2.9 | 2.4 | 3.5 |
| Kansas | 3.1 | 2.6 | 3.6 |
| Kentucky | 4.5 | 3.8 | 5.2 |
| Louisiana | 4.2 | 3.4 | 4.9 |
| Maine | 3.8 | 3.3 | 4.3 |
| Maryland | 3.3 | 2.9 | 3.7 |
| Massachusetts | 3.8 | 3.3 | 4.3 |
| Michigan | 3.9 | 3.5 | 4.3 |
| Minnesota | 2.9 | 2.5 | 3.3 |
| Mississippi | 4.3 | 3.4 | 5.2 |
| Missouri | 3.8 | 3.2 | 4.3 |
| Montana | 3.3 | 2.9 | 3.8 |
| Nebraska | 3.0 | 2.3 | 3.5 |
| Nevada | 3.7 | 3.1 | 4.3 |
| New Hampshire | 3.5 | 3.2 | 3.8 |
| New Jersey | 3.3 | 2.8 | 3.7 |
| New Mexico | 3.7 | 3.4 | 4.1 |
| New York | 3.7 | 3.3 | 4.1 |
| North Carolina | 3.6 | 2.9 | 4.3 |
| North Dakota | 2.7 | 2.3 | 3.2 |
| Ohio | 3.8 | 3.0 | 4.5 |
| Oklahoma | 4.3 | 3.6 | 5.0 |
| Oregon | 4.3 | 3.7 | 4.9 |
| Pennsylvania | 4.0 | 3.4 | 4.5 |
| Rhode Island | 3.8 | 3.4 | 4.2 |
| South Carolina | 3.8 | 3.1 | 4.4 |
| South Dakota | 2.5 | 1.8 | 3.1 |
| Tennessee | 3.7 | 2.8 | 4.6 |
| Texas | 3.2 | 2.5 | 3.9 |
| Utah | 3.5 | 2.8 | 4.3 |
| Vermont | 3.3 | 2.8 | 3.8 |
| Virginia | 3.3 | 2.8 | 3.8 |
| Washington | 3.8 | 3.2 | 4.5 |
| West Virginia | 4.4 | 3.8 | 5.1 |
| Wisconsin | 3.5 | 2.7 | 4.3 |
| Wyoming | 3.2 | 2.3 | 4.0 |
| Guam | 3.4 | 3.4 | 3.4 |
| Puerto Rico | 4.1 | 3.3 | 4.8 |
| U.S. Virgin Islands | N/A | N/A | N/A |