American Heart Association American Cancer Society American Diabetes Association
American Diabetes Association American Heart Association American Cancer Society
American Cancer Society American Diabetes Association American Heart Association
Four people collaborating putting illustrated gear wheels together.

Collaboration
for Equitable Health


The American Heart Association®, the American Cancer Society®, the American Diabetes Association®, and the University of Michigan School of Public Health will specifically focus on the leading causes of death in communities of color – heart disease, cancer, stroke, and diabetes – and improving health outcomes more broadly. This four-year initiative launched in 11 cities with the work tailored to meet the needs of each community based on collected data.


Nurse listening to stethoscope on patient's chest

American Heart Association

The American Heart Association (AHA) is here to support your community as you create the path for your best life, which includes learning how to manage high blood pressure. We are a relentless force for a world of longer, healthier lives.

American Cancer Society

The American Cancer Society (ACS) is a leading cancer-fighting organization, working to improve the lives of people with cancer and their families through advocacy, research and direct patient support. Our goal is to end cancer as we know it, for everyone.

American Diabetes Association

The American Diabetes Association® (ADA) is leading the fight against the deadly consequences of diabetes and advocating for those affected by diabetes—no matter their race, income, zip code, age, education, or gender.

Health Statistics in Launch Cities

As part of this effort, the American Heart Association, the American Cancer Society, and the American Diabetes Association will focus on three key areas in each community: education and capacity building, increasing access to health screenings and preventative care, and advocating for policies that ensure fair opportunities and resources.

Click on any city to learn about its current health profile.

Evaluation efforts led by the

University of Michigan

Footnotes

  1. U.S. Census Bureau (2019). City Profile.
  2. Decennial Census, Hispanic or Latino, and not Hispanic or Latino by Race. U.S. Census Bureau (2020). Retrieved February 2022.
  3. CDC, National Center for Health Statistics. Stats of the States.
  4. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.
  5. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.
  6. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.
  7. National Cancer Institute. State Cancer Profiles.
  8. National Cancer Institute. State Cancer Profiles.
  9. National Cancer Institute. State Cancer Profiles.
  10. Centers for Disease Control and Prevention. United States Cancer Statistics: Data Visualizations. Accessed February 2022.
  11. Department of Population Health, NYU Langone Health (2023). City Health Dashboard. Accessed August 29, 2023.
  12. Centers for Disease Control and Prevention (2022). Diabetes Data and Statistics. Accessed August 29, 2023.
  13. Department of Population Health, NYU Langone Health (2023). City Health Dashboard. Accessed August 29, 2023.
  14. Centers for Disease Control and Prevention (2022). Overweight and Obesity. Data and Statistics. Accessed August 29, 2023.
  15. Centers for Disease Control and Prevention (2023). National Center for Health Statistics Mortality Data on CDC WONDER. Accessed August 25, 2023.
  16. County Health Rankings & Roadmaps (2021). Accessed February 2022.
  1. U.S. Census Bureau (2019). City Profile.
  2. Decennial Census, Hispanic or Latino, and not Hispanic or Latino by Race. U.S. Census Bureau (2020). Retrieved February 2022.

    United States Decennial Census, Hispanic or Latino, and not Hispanic or Latino by Race. U.S. Census Bureau (2010). Retrieved February 2022.

  3. CDC, National Center for Health Statistics. Stats of the States.
  4. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.

    CDC. National Center for Health Statistics.

  5. National Cancer Institute. State Cancer Profiles.
  6. National Cancer Institute. State Cancer Profiles.
  7. National Cancer Institute. State Cancer Profiles.
  8. Centers for Disease Control and Prevention. United States Cancer Statistics: Data Visualizations. Accessed February 2022.
  9. Department of Population Health, NYU Langone Health (2023). City Health Dashboard. Accessed August 29, 2023.
  10. Centers for Disease Control and Prevention (2022). Diabetes Data and Statistics. Accessed August 29, 2023.
  11. Department of Population Health, NYU Langone Health (2023). City Health Dashboard. Accessed August 29, 2023.
  12. Centers for Disease Control and Prevention (2022). Overweight and Obesity. Data and Statistics. Accessed August 29, 2023.
  13. Centers for Disease Control and Prevention (2023). National Center for Health Statistics Mortality Data on CDC WONDER. Accessed August 25, 2023.
  14. County Health Rankings & Roadmaps (2021). Accessed February 2022.
  1. U.S. Census Bureau (2019). City Profile.
  2. Decennial Census, Hispanic or Latino, and not Hispanic or Latino by Race. U.S. Census Bureau (2020). Retrieved February 2022.

    United States Decennial Census, Hispanic or Latino, and not Hispanic or Latino by Race. U.S. Census Bureau (2020). Retrieved February 2022.

  3. CDC, National Center for Health Statistics. Stats of the States
  4. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.

    CDC. National Center for Health Statistics

  5. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.
  6. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.
  7. National Cancer Institute. State Cancer Profiles.
  8. Centers for Disease Control and Prevention. United States Cancer Statistics: Data Visualizations. Accessed February 2022.
  9. Department of Population Health, NYU Langone Health (2023). City Health Dashboard. Accessed August 29, 2023.
  10. Centers for Disease Control and Prevention (2022). Diabetes Data and Statistics. Accessed August 29, 2023.
  11. Department of Population Health, NYU Langone Health (2023). City Health Dashboard. Accessed August 29, 2023.
  12. Centers for Disease Control and Prevention (2022). Overweight and Obesity. Data and Statistics. Accessed August 29, 2023.
  13. Centers for Disease Control and Prevention (2023). National Center for Health Statistics Mortality Data on CDC WONDER. Accessed August 25, 2023.
  14. County Health Rankings & Roadmaps (2021). Accessed February 2022.
  1. U.S. Census Bureau (2019). City Profile.
  2. Decennial Census, Hispanic or Latino, and not Hispanic or Latino by Race. U.S. Census Bureau (2020). Retrieved February 2022.

    United States Decennial Census, Hispanic or Latino, and not Hispanic or Latino by Race. U.S. Census Bureau (2010). Retrieved February 2022.

  3. CDC, National Center for Health Statistics. Stats of the States.
  4. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.
  5. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.
  6. Interactive Atlas of Heart Disease and Stroke. Centers for Disease Control and Prevention. Accessed February 2022.
  7. National Cancer Institute. State Cancer Profiles.
  8. Centers for Disease Control and Prevention. United States Cancer Statistics: Data Visualizations. Accessed February 2022.
  9. Department of Population Health, NYU Langone Health (2023). City Health Dashboard. Accessed August 29, 2023.
  10. Centers for Disease Control and Prevention (2022). Diabetes Data and Statistics. Accessed August 29, 2023.
  11. Department of Population Health, NYU Langone Health (2023). City Health Dashboard. Accessed August 29, 2023.
  12. Centers for Disease Control and Prevention (2022). Overweight and Obesity. Data and Statistics. Accessed August 29, 2023.
  13. Centers for Disease Control and Prevention (2023). National Center for Health Statistics Mortality Data on CDC WONDER. Accessed August 25, 2023.
  14. County Health Rankings & Roadmaps (2021). Accessed February 2022.

General Stats

4th largest city in the Southwest with a population of 564,599

Racial Composition

  • 48% identify as Latino or Hispanic, which is three times the national average
  • 9% identify as American Indian/Alaskan native, which is 9 times the national average

Leading Causes of Death by State

Heart Disease [1], Cancer [2] and Diabetes [6]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 28.5% 26.6%
Coronary Heart Disease 6.2% 4.6%
Previous Stroke 3.2% 3.0%

Cancer Deaths per 100K

Ethnicity City National
Black 143.6 173.6
White 136.9 157.2
Indian/AK Native 104.2 101.2
Hispanic or Latino 142.2 109.7

Cancer Screening Rates

Type City National
Mammography 67.1% 78.1%
Colorectal 64.1% 69.5%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 9.7% 9.3%
Adult Obesity Prevalence 26.8% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 38.7 38.5
White 20.8 19.8
Indian/AK Native 44.6 33.7
Hispanic or Latino 29.6 26.2
Asian/Pacific Islander 15.3 16.3
County-wide 21.8 21.7

Mental Health Services

Ratio of Patients to Providers 230:1

General Stats

8th most populous city in the Southeast, population 498,715

Racial Composition

50% identify as Black, which is more than three times the national average

Leading Causes of Death by State

Heart Disease [1] Cancer [2] and Diabetes [7]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 30.1% 26.6%
Coronary Heart Disease 5.1% 4.6%
Previous Stroke 3.1% 3.0%

Avoidable Heart Disease and Stroke Deaths per 100K

Hispanic or Latino 26.0
White 28.5
Black 97.9
Asian/Pacific Islander 17.0

Cardiovascular Disease Deaths per 100K

Hispanic or Latino 201.1
White 302.8
Black 521.3
Asian/Pacific Islander 181.9

Prostate Cancer Incidence Rates per 100K

Ethnicity County National
Black 194.3 168.6
White 117.8 79.0
Hispanic or Latino 142.6 83.9

Breast Cancer Incidence Rates per 100K

Ethnicity County National
All Races 131.4 126.8
Black 129.1 124.3
White 136.3 132.6
Hispanic or Latino 148.7 95.4

Cancer Deaths per 100K

Ethnicity County National
All Races 145.2 152.4
Black 181.2 173.6

Cancer Screening Rates

Type County National
Mammography 78.8% 78.1%
Colorectal 64.5% 69.5%
Cervical 87.9% 79.9%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 10.6% 9.3%
Adult Obesity Prevalence 31.1% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 34.8 38.5
White 8.7 19.8
Hispanic or Latino 8.1 26.2
Asian/Pacific Islander 14.2 16.3
County-wide 19.8 21.7

Mental Health Services

Ratio of Patients to Providers 330:1

General Stats

  • 2nd most populous city in the Southeast, population of 874,579
  • 39% identify as Black, which is more than double the national average

Leading Causes of Death by State

  • Cancer [1], Heart Disease [2] and Diabetes [7]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 31.5% 26.6%
Coronary Heart Disease 5.4% 4.6%
Previous Stroke 2.9% 3.0%

Cancer Screening Rates

Type County National
Mammography 77.2% 78.1%
Colorectal 67.9% 69.5%
Cervical 87.6% 79.9%

Prostate Cancer Incidence Rates per 100K

Ethnicity County National
Black 202.0 168.6
White 125.3 99.9
Asian/Pacific Islander 47.5 54.7
Hispanic or Latino 110.6 83.9

Breast Cancer Incidence Rates per 100K

Ethnicity County National
Black 136.2 124.3
White 155.1 132.6
Asian/Pacific Islander 73.9 97.6
Hispanic or Latino 72.3 95.4

Maternal Mortality per 100K Live Births

Black 20.8
All Others 11.5

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 9.0% 9.3%
Adult Obesity Prevalence 30.6% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 36.3 38.5
White 12.2 19.8
Hispanic or Latino 8.8 26.2
Asian/Pacific Islander 8.7 16.3
County-wide 18.3 21.7

Mental Health Services

Ratio of Patients to Providers 330:1

General Stats

3rd most populous city in the United States, population of 2,746,388

Racial Composition

  • 41% identify as Black, which is nearly three times the national average
  • 30% identify as Latino or Hispanic which is almost double the national average

Leading Causes of Death by State

Heart Disease [1], Cancer [2] and Diabetes [7]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 31.5% 26.6%
Coronary Heart Disease 6% 4.6%
Previous Stroke 3.4% 3.0%

Colon and Rectum Cancer Incidence Rates per 100K

Ethnicity County National
Black 50.8 42.9
All Races 42.2 38.0

Cancer Deaths per 100K

Ethnicity City National
All Races 156.5 152.4
Black 204.4 173.6

Breast Cancer Incidence Rates per 100K

Ethnicity County National
White 131.1 95.7
Black 129.1 124.3
Asian/Pacific Islander 101.2 97.6
Hispanic or Latino 148.7 95.4

Cancer Screening Rates

Type County National
Mammography 75.7% 78.1%
Colorectal 61.9% 69.5%
Cervical 82.7% 79.9%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 10.7% 9.3%
Adult Obesity Prevalence 31.6% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 33.5 38.5
White 16.3 19.8
Indian/AK Native 7.4 33.7
Hispanic or Latino 21.8 26.2
Asian/Pacific Islander 17.8 16.3
County-wide 20.4 21.7

Mental Health Services

Ratio of Patients to Providers 340:1

General Stats

20th most populous city in the United States, population 689,545

Racial Composition

  • 46% identify as Black, which is triple the national average
  • 43% identify as White, compared to 76%, which is the national average

Leading Causes of Death by State

Heart Disease [1], Cancer [2] and Diabetes [5]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 27.5% 26.6%
Coronary Heart Disease 4.8% 4.6%
Previous Stroke 3.0% 3.0%

Avoidable Heart Disease and Stroke Deaths per 100K

Hispanic or Latino 25.1
White 22.9
Black 144.3
Asian/Pacific Islander 20.0
American Indian/Alaska Native 3.0

Cardiovascular Disease Deaths per 100K

Hispanic or Latino 245.3
White 221.9
Black 650.6
Asian/Pacific Islander 229.5
American Indian/Alaska Native 121.1

Cancer Deaths per 100K

Ethnicity County National
All Races 149.5 152.4
Black 194.5 173.6

Cancer Screening Rates

Type County National
Mammography 75.7% 78.1%
Colorectal 69.4% 69.5%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 7.7% 9.3%
Adult Obesity Prevalence 23.9% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 33.5 38.5
White 5.1 19.8
Hispanic or Latino 11.5 26.2
County-wide 21.7 21.7

Mental Health Services

Ratio of Patients to Providers 190:1

General Stats

19th most populous city in the United States, population 715,522

Racial Composition

27.9% identify as Latino/Hispanic, which is almost double the national average 75% identify as White

Leading Causes of Death by State

Cancer [1], Heart Disease [2] and Diabetes [8]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 24.3% 26.6%
Coronary Heart Disease 4.6% 4.6%
Previous Stroke 2.4% 3.0%

Avoidable Heart Disease and Stroke Deaths per 100K

Hispanic or Latino 50.0
White 40.2
Black 99.3
Asian/Pacific Islander 27.2
American Indian/Alaska Native 48.9

Cardiovascular Disease Deaths per 100K

Hispanic or Latino 321.9
White 336.2
Black 510.6
Asian/Pacific Islander 226.9
American Indian/Alaska Native 428.1

Cancer Deaths per 100K

Ethnicity County National
Black 399.0 173.6
White 415.9 157.2
American Indian/Alaska Native 201.7 101.2
Asian/Pacific Islander 296.6 95.6
Hispanic or Latino 374.6 109.7

Cancer Screening Rates

Type City National
Mammography 70.0% 78.1%
Colorectal 60.4% 69.5%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 7.6% 9.3%
Adult Obesity Prevalence 21.5% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 35.0 38.5
White 18.2 19.8
Hispanic or Latino 31.7 26.2
Asian/Pacific Islander 10.9 16.3
County-wide 19.8 21.7

Mental Health Services

Ratio of Patients to Providers 190:1

General Stats

Most populous city in Michigan, population 639,111

Racial Composition

84% identify as Black, which is more than five times the national average

Leading Causes of Death by State

Heart Disease [1], Cancer [2] and Diabetes [7]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 39.5% 26.6%
Coronary Heart Disease 8.2% 4.6%
Previous Stroke 4.5% 3.0%

Cancer Deaths per 100K

Ethnicity County National
Black 193.6 173.6
White 168.4 157.2
American Indian/Alaska Native 125.4 101.2
Hispanic or Latino 134.1 109.7

Cancer Screening Rates

Type County National
Mammography 73.1% 78.1%
Colorectal 66.2% 69.5%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 18.6% 9.3%
Adult Obesity Prevalence 47.9% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 32.9 38.5
White 22.1 19.8
Indian/AK Native 18.2 33.7
Hispanic or Latino 27.6 26.2
Asian/Pacific Islander 13.8 16.3
County-wide 25.9 21.7

Mental Health Services

Ratio of Patients to Providers 330:1

General Stats

2nd most populous city in Tennessee, population 633,104

Racial Composition

68% identify as Black, which is nearly five times the national average

Leading Causes of Death by State

Heart Disease [1], Cancer [2] and Diabetes [7]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 39.1% 26.6%
Coronary Heart Disease 7.2% 4.6%
Previous Stroke 4.3% 3.0%

Avoidable Heart Disease and Stroke Deaths per 100K

Hispanic or Latino 30.8
White 68.5
Black 130.8
Asian/Pacific Islander 36.0
American Indian/Alaska Native 51.0

Cancer Deaths per 100K

Ethnicity County National
Black 200.4 173.6
White 154.8 157.2
Asian/Pacific Islander 99.0 95.6
Hispanic or Latino 84.8 109.7

Cancer Screening Rates

Type County National
Mammography 73.5% 78.1%
Colorectal 62.7% 69.5%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 15.5% 9.3%
Adult Obesity Prevalence 40.7% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 41.6 38.5
White 16.0 19.8
Hispanic or Latino 14.2 26.2
Asian/Pacific Islander 15.3 16.3
County-wide 27.1 21.7

Mental Health Services

Ratio of Patients to Providers 670:1

General Stats

2nd most populous city in Texas, population 1,434,625

Racial Composition

64% identify as Latino or Hispanic, which is almost four times the national average

Leading Causes of Death by State

Heart Disease [1], Cancer [2] and Diabetes [7]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 32.0% 26.6%
Coronary Heart Disease 6.6% 4.6%
Previous Stroke 3.0% 3.0%

Maternal Mortality per 100K Live Births

Black 53.73
White 24.53
All Others 7.85

Cancer Deaths per 100K

Ethnicity County National
Black 171.6 173.6
White 154.8 157.2
Asian/Pacific Islander 85.1 95.6
Hispanic or Latino 132.6 109.7

Cancer Screening Rates

Type County National
Mammography 71.9% 78.1%
Colorectal 61.1% 69.5%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 13.7% 9.3%
Adult Obesity Prevalence 40.7% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 36.2 38.5
White 27.0 19.8
Hispanic or Latino 35.3 26.2
Asian/Pacific Islander 15.0 16.3
County-wide 27.1 21.7

Mental Health Services

Ratio of Patients to Providers 530:1

General Stats

2nd largest city in Missouri, population 301,578

Racial Composition

  • 45% identify as Black, which is three times the national average
  • 45% identify as White

Leading Causes of Death by State

Heart Disease [1], Cancer [2] and Diabetes [7]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 31.9% 26.6%
Coronary Heart Disease 6.8% 4.6%
Previous Stroke 3.4% 3.0%

Breast Cancer Incidence Rates per 100K

Ethnicity County National
All Races 151.3 126.8
White 157.0 132.6
Black 143.0 124.3

Cancer Deaths per 100K

Ethnicity County National
All Races 154.7 152.4
Black 201.0 173.6

Cancer Screening Rates

Type County National
Mammography 74.6% 78.1%
Colorectal 71.0% 69.5%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 12.2% 9.3%
Adult Obesity Prevalence 38.8% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 35.0 38.5
White 12.5 19.8
Asian/Pacific Islander 11.9 16.3
County-wide 16.4 21.7

Mental Health Services

Ratio of Patients to Providers 330:1

General Stats

Most populous city in Pennsylvania, population 1,603,797

Racial Composition

45% identify as Black, which is triple the national average

Leading Causes of Death by State

Heart Disease [1], Cancer [2], and Diabetes [7]

Cardiovascular Disease (Adults)

Condition City National
High Blood Pressure 34.5% 26.6%
Coronary Heart Disease 6.4% 4.6%
Previous Stroke 4.1% 3.0%

Cancer Deaths per 100K

Ethnicity County National
Black 199.3 173.6
White 174.4 157.2
Asian/Pacific Islander 99.5 95.6
Hispanic or Latino 116.0 109.7

Cancer Screening Rates

Type County National
Mammography 78.7% 78.1%
Colorectal 71.8% 69.5%

Adult Diabetes and Obesity Prevalence Estimates

Estimate City National
Adult Diabetes Prevalence 12.7% 9.3%
Adult Obesity Prevalence 30.3% 31.9%

Diabetes Mellitus Deaths per 100K

Ethnicity County National
Black 30.6 38.5
White 18.9 19.8
Hispanic or Latino 23.5 26.2
Asian/Pacific Islander 12.6 16.3
County-wide 23.3 21.7

Mental Health Services

Ratio of Patients to Providers 310:1

Evaluation efforts led by the

University of Michigan

Every person deserves the opportunity for a full and healthy life. But this is not the reality for many people of color and others whose health suffers because of social factors beyond their control. Poverty, income disparities, food insecurity, and the lack of healthy housing have significant implications for health risk and the ability to attain quality health access and care.

Arif Kamal, MD, MBA, MHS, ACS Chief Patient Officer,
Eduardo Sanchez, MD, MPH, FAHA, AHA Chief Medical Officer, and
Robert A. Gabbay, MD, PhD, ADA Chief Science & Medical Officer.