2025年老年人健康报告

Report Contents Introduction1State Rankings21 National Snapshot3 National Summary24 Findings4 Health Outcomes4Social and Economic Factors12Clinical Care16Behaviors20 Data Source Descriptions29 Methodology31 References34 Several bright spots in older adult healthhighlight opportunities for leaders to build onsuccesses and address persistent challenges. The data in this report underscore meaningful progress inrecent years, including decreases in the early death rate andstrengthened social support and engagement among olderadults. We encourage communities and leaders nationwideto leverage these insights — along with the detailed state-leveland demographic group data available across theAmerica’sHealth Rankingsplatform — to amplify progress, confrontongoing challenges and promote the health and well-beingof all older adults. Definitions, Limitations and Methodology For details on demographic group definitions and limitations, data sources and methodology,please refer to the Appendix onpage 24and visitAmericasHealthRankings.org. The United Health Foundation is proud to releasetheAmerica’s Health Rankings® 2025 Senior Report,which provides a portrait of the health and well-beingof older adults across the United States. This report highlights improvements in early deaths, social support and engagementmeasures, and the number of geriatric clinicians. Despite these successes, drugdeaths, suicide and poverty increased, and flu vaccinations declined. Finally, the report analyzed the health of older adultson a state-by-state basis. Older adults comprise a muchlarger share of the population in some states than others.In 2023, Maine had the largest proportion of residentsage 65 and older (23.0%), followed by Vermont (22.1%)and Florida (21.7%). Utah had the smallest proportion(12.2%), followed by the District of Columbia (13.1%),Texas (13.7%) and Alaska (14.4%). Strengths and challengeswere present in every state, no matter the size of the olderadult population. The2025 Senior Reportfound that the early deathrate decreased for the second consecutive year.Meanwhile, the number of geriatric clinicians continuedto improve nationwide, as did high-speed internetaccess. Volunteerism among older adults increased. Despite these positive developments, rates of suicide,firearm deaths and drug deaths all continued toincrease, with striking health differences by genderand race/ethnicity. Furthermore, older adults facedrising rates of poverty, and flu vaccinations decreased.These challenges pose significant obstacles to achievingoptimal health and well-being for older Americans. In 2023, there were more than59 million adults age 65 andolder in the U.S., making up17.7% of the population. Between 2022 and 2023, the population of adults age65 and older in the United States increased by almost1.5 million individuals. In 2023, there were more than59 million adults age 65 and older in the U.S., makingup 17.7% of the population. The proportion of olderadults will continue to rise as the last baby boomersturn 65 years old, approaching2030.1As the olderAmerican population grows, it remains important tostrengthen and expand initiatives that promote theirhealth and well-being while working collaborativelyto address the complex challenges they face. The data in this report show meaningful progress inrecent years, including decreases in the early death rateand strengthened social support and engagement amongolder adults. We encourage communities and leadersnationwide to leverage these insights — and detailedstate-level and demographic group data available acrosstheAmerica’s Health Rankingsplatform — to amplifyprogress, confront ongoing challenges, and promotethe health and well-being of all older adults. This year’s report further explores the health andresilience of older adults by introducing new measurestracking RSV vaccinations, state emergency managementplans and direct care worker wage competitiveness. In2024, 33.0% of older adults in the U.S. received an RSVvaccination. In 2023, nine states had a FEMA-approvedenhanced state hazard mitigation plan for naturaldisasters, and direct care workers made $2.89 lessper hour on average than other entry-level workers. Objective America’s Health Rankingsinforms and drives action to build healthier communities by offering credible, trusted data thatcan guide efforts to improve population health and health care. The report is developed in collaboration with an advisorycommittee to determine the selection of a comprehensive set of measures. The2025 Senior Reportis based on: •Providing a benchmark for states.Since 2013, thereport has presented strengths, challenges and keyfindings for every state and the District of Columbia.Public health advocates can monitor health trendsover time and compare their state with other statesand the nation.State Summariesare availableon theAmerica’s Health Rankingswebsite asseparate downloads. •Fifty-five measures.These include 36 rankingand 19 unwe