Ohio statistics

Pregnancy complications worse among Black women in Ohio, data shows

Urban centers are seeing the highest rates of pregnancy complications for Ohio women, followed by Appalachia, with Black women being impacted the most, a report from HPIO found (Source: “Severe pregnancy complications are affecting Black women in Ohio the most,” Ohio Capital Journal, Nov. 28).

The brief, Racial and Geographic Disparities in Maternal Morbidity and Mortality, points to systemic racism, a lack of health care access and poor community conditions as reasons for the disparities.

Not only are there disparities in general maternal health, but also in maternal morbidity: severe complications that happen during or after labor and delivery that can lead to other major health problems, including hysterectomy or the need for a blood transfusion, according to the brief.

Graphic of the week

Last week, the Health Policy Institute of Ohio released a new Data Snapshot detailing trends in mental health among Ohioans.

Among the data findings in the Snapshot are that while Ohioans receive mental health treatment at rates higher than the U.S., one in four Ohio adults report they did not receive mental health care (as displayed in the graphic above).

The Snapshot also includes data that shows the percent of Ohio adults reporting frequent poor mental days increased 20% from 2011 to 2020 (click for news coverage from Ohio Capital Journal).


The new HPIO Data Snapshot includes visualizations on mental health prevalence and trends in Ohio (frequent poor mental health days and depression), access to mental health care and quality and trends in suicide in Ohio. It also includes a list of resources to improve mental health in Ohio. 

If you would like to feature graphics from this publication in your own work, visit 

Graphic of the week


New analysis from the Health Policy Institute of Ohio, conducted as part of Domestic Violence Awareness Month, found that Ohio children are more likely to witness domestic violence than children in the U.S. overall.

In 2020, the most recent year for which data is available, 6.9% of Ohio children witnessed domestic violence, compared to the national average of 5.4% (as displayed in the graphic above). That percentage translates to an estimate of more than 171,000 Ohio children having witnessed domestic violence in their home, according to the National Survey of Children’s Health.

Earlier this week, the Ohio Domestic Violence Network reported that 131 people died from domestic violence in the year ending June 30, 2021. That is a 20% increase in fatalities from the year before and a 62% increase from two years prior.

Witnessing domestic violence is an adverse childhood experience (ACE) that can cause long-lasting harms that persist throughout life. For more information on ACEs and evidence-informed strategies to prevent them, visit HPIO’s Ohio ACEs Impact Project.
Help and resources are available for victims of domestic violence. The Ohio Domestic Violence Network has a help line at 1-800-934-9840 and the National Coalition Against Domestic Violence has an anonymous 24/7 helpline at 1-800-799-7233 (SAFE). The OhioHealth Sexual Assault Response Network of Central Ohio also provides advocacy and emotional support services.

Graphic of the week

At the conclusion of Suicide Prevention Awareness Month, new analysis from the Health Policy Institute of Ohio details the changing demographic trends in suicide deaths in Ohio (as illustrated in the graphic above).

According to data from the Ohio Public Health Data Warehouse, between 2007 and 2021 (the most-recent year in which data is available), suicide deaths increased for both male and female Ohioans, with a greater increase among males. Suicides among Black Ohioans have increased 56% over the past 14 years, compared to a 34% increase for white Ohioans. In terms of age groups, Ohioans ages 25-64 remain the most likely to die by suicide, although rates have increased for all ages since 2007.

Earlier this month, HPIO released a graphic illustrating how, between 2007 and 2021, the rate of suicide deaths in Ohio that involved a firearm increased by more than 50% and how, in 2021, suicides involving a firearm accounted for more than all other methods combined.

Suicide is preventable and the state’s 2020-2022 Suicide Prevention Plan includes evidence-informed strategies that both public- and private-sector leaders can implement to address the issue.

If you or someone you know is experiencing emotional distress or a suicidal crisis, please call the 988 Suicide and Crisis Lifeline, the Trans Lifeline at 877-565-8860 or the Trevor Project at 866-488-7386. If you don’t like talking on the phone, consider using the Crisis Text Line at www.crisistextline.org or text “4HOPE” to 741-741.

Graphic of the week

As national and state organizations mark September as Suicide Prevention Awareness Month, data show that while suicide deaths among young Ohioans have risen overall in Ohio over the past two decades, the increase has been sharpest among Black Ohioans.

In 1999, the suicide rates for both white Ohioans and Black Ohioans ages 10 to 24 were the same: 6.8 per 100,000 people. By 2020 (the most recent year for which data is available), the rate for white Ohioans had risen to 11.2 (an increase of 64%) and the rate for Black Ohioans had risen to 12.8 (an increase of 88%).

More-recent national research indicates that the disparity in suicide rates may have increased during the COVID-19 pandemic.

Reducing suicide and eliminating disparities are priorities of the Ohio Department of Health’s 2020-2022 State Health Improvement Plan (SHIP). Public- and private-sector leaders can implement strategies identified in the SHIP and Ohio’s 2020-2022 Suicide Prevention Plan, including suicide fatality review boards, behavioral health integration with primary care and education on safe storage of lethal means (i.e., firearms and medications).

If you or someone you know is experiencing emotional distress or a suicidal crisis, please call the 988 Suicide and Crisis Lifeline; the Trans Lifeline at 877-565-8860 or the Trevor Project at 866-488-7386. If you don’t like talking on the phone, consider using the Crisis Text Line at www.crisistextline.org or text “4HOPE” to 741-741.

Ohio infant mortality rates dropped in 2020, new ODH report finds

Ohio saw a slight dip in its infant mortality rate in the first year of the COVID-19 pandemic, according to new 2020 data released by the Ohio Department of Health (Source: “State report: Ohio infant mortality rate 'lowest it has been in past decade',” Columbus Dispatch, Aug. 19).

According to the ODH report, there were 6.7 infant deaths per 1,000 live births in 2020, down from 6.9 the year prior. Black infants specifically saw a bigger decrease in that time frame, from 14.3 deaths per 1,000 births to 13.6, which is 2.7 times the rate of white infants. In total, 864 infants died before their first birthday in 2020.

The new infant mortality rate is "the lowest it has been in the past decade," according to the report, but it's still far above from the 2028 target of 6 or fewer deaths per 1,000 births for every racial group that was set out in the 2020-2022 State Health Improvement Plan.

"Racial and socio-economic inequities persist," the report acknowledged. "The infant mortality rate not only serves as a key indicator of maternal and infant health but is also an important measure of the health status of a community."

ODH releases monkeypox data dashboard

The Ohio Department of Health launched a monkeypox data dashboard Thursday, showing cases statewide and per county, and by age ranges, sex, hospitalizations, deaths and other information (Source: “Ohio Department of Health launches new monkeypox data dashboard and interactive map showing locations of all 147 cases,” Cleveland.com, Aug. 25).

ODH plans to update the dashboard each Thursday. Currently, there have been 147 confirmed cases across 19 counties. Cuyahoga County, with 69 cases, has the most, followed by Franklin County, which counts 33 cases. 

Just nine people have been hospitalized and no one has died with monkeypox in Ohio thus far.

The state’s first monkeypox case was reported June 13. Cases have increased in Ohio and across the country in the past few weeks.

Graphic of the week

Over the past year, HPIO has explored the connections between criminal justice and health.
The research evidence is clear that poor mental health and addiction are risk factors for criminal justice involvement and that incarceration is detrimental to health (see graphic above).
Obstacles to health and well-being are particularly striking for Ohioans who are at highest risk of criminal justice involvement.
Next month, HPIO plans to release the third in a series of policy briefs on the topic. The latest edition will explore pretrial incarceration and the bail system.
The first brief in the series provides foundational analysis on the connection between criminal justice and health and the second brief explored insights on justice and race.
All briefs in the series include evidence-informed policy options to improve the health, safety and well-being of Ohioans.

Graphic of the week

Data released earlier this year from County Health Rankings show that Black Ohioans have the lowest median household income among groups of Ohioans and have, by far, the highest rate of premature death (years of potential life lost before age 75, which reflects the burden of deaths that potentially could have been prevented).

Between 2018 and 2020, Black Ohioans collectively lost 13,374 years of life before turning 75 years old (see graphic above, which was originally released by HPIO in April). That is nearly as many years lost as Hispanic (5,858) and white Ohioans (8,224) combined.  At the same time, the median household income for Black Ohioans is $12,352 less than Hispanic Ohioans, $28,065 less than white Ohioans and $43,782 less than Asian Ohioans.

“Individual efforts alone cannot overcome the structural barriers that maintain the racial wealth divide,” County Health Rankings states. “Structural barriers include laws, policies, institutional practices, and economic arrangements that create unequal conditions.”

The latest edition of the County Health Rankings includes a curated list of strategies to address racial wealth building, a key to eliminating health disparities.

Graphic of the week

Click to enlarge

Recent analysis by HPIO has found that stark differences in maternal health outcomes signal that not everyone has what they need to live a healthy life before, during and after pregnancy.

The graphic above, from the HPIO fact sheet “Racial and Geographic Disparities in Maternal Morbidity and Mortality,” shows urban and Appalachian counties have the highest rates of maternal morbidity in Ohio. Additionally, across both urban and Appalachian counties, Black mothers have the highest rates of maternal morbidity

According the fact sheet, “High maternal morbidity and mortality rates are preventable. State and local policymakers have many options to address racism and discrimination, inequitable community conditions, toxic stress and poor prenatal care access.”