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State Health Assessment


Pennsylvania State Health Assessment (SHA) assess and reports on the health status of the population in Pennsylvania. 

Specifically the SHA reports on:

  • Health status of Pennsylvania's population;
  • Factors that contribute to health issues;
  • Resources that can be mobilized to address population health improvement.

The Pennsylvania State Health Assessment (SHA) 2019 Update has included updates for the following sections of the SHA.

(Published December 2019)

The following sections are available for online review and/or download in PDF format:

Introduction (PDF) - Table of contents, acknowledgements, list of figures, and list of tables (2019 update)

Key Health Findings (PDF) - Summary of the health information identified in the assessment (2017 update)

Context of Health (PDF) - The state and its people (population demographics), health insurance, and emergency preparedness (2017 update)

General Health Status (PDF) - Self-assessed health; mortality, morbidity, and life expectancy; and people with disabilities (2017 update)

Major Risk and Protective Factors (PDF) - Tobacco use and exposure, obesity and overweight, physical activity, nutrition, alcohol and drugs, mental health, and oral health (2019 update)

Occupational Health and Safety (PDF) - Occupational injuries, farm-related fatalities, pesticide exposure, and lead exposure

Infectious Diseases (PDF) - Sexually transmitted diseases (STDs), HIV and AIDS, tuberculosis (TB), hepatitis A, hepatitis B, hepatitis C, hospital-related health care associated infections, West Nile virus, Lyme disease, rabies, legionellosis, salmonellosis, campylobacteriosis, enterohemorrhagic escherichia coli, and vaccine preventable diseases

Injury and Violence (PDF) - Preventable injuries, unintentional injuries, violence, and traumatic brain injury

Maternal and Child Health (PDF) - Context for health, unintended pregnancy, contraception use, adolescent pregnancy and childbearing, preterm birth and low birth weight, infant mortality, breastfeeding, postpartum depression, childhood screening, children and youth special health care needs, and children's emotional development (2019 update)

Environmental Health (PDF) - Safe drinking water, environmental pesticide exposure, air quality, children's environmental health, and arsenic in groundwater

Health Care Services (PDF) - Primary care, patient-centered medical home, prenatal and preconception care, dental care, behavioral health care, hospitals, emergency medical services system, long term care, hospice care, and health information technology (2019 update)

Chronic Diseases (PDF) - Coronary heart disease, stroke, chronic obstructive pulmonary disease, asthma, cancer, diabetes, chronic kidney disease, organ and tissue donation and transplantation, arthritis, osteoporosis, and Alzheimer's disease

Opioids and PDMP (PDF) - Deaths from drug overdose are an increasing public health burden in the U.S.  This chapter highlights opioid and PDMP monitoring and ongoing initiatives to address this epidemic (2017 update)

Appendices (PDF) - process of developing the assessment, technical notes, and key data sources