Dmitri N. Shalin

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The Social Health of Nevada: Leading Indicators and Quality of Life in the Silver State


UNLV: Center for Democratic Culture Publications

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In this report, we use recent data to describe the health of Nevada and update the previous report (Monnat, 2012) on health outcomes and health determinants in the Silver State. Data for this report are mainly obtained from the County Health Rankings, America’s Health Rankings, and the 2016 Center for Disease Control and Prevention’s Division of Nutrition, Physical Activity, and Obesity report.

In line with the previous report by Monnat (2012), we reference Nevada’s disease prevalence in relation to the U.S. average and other states, as well as disease distribution among counties in Nevada. We also compaire health indicators in the U.S. with those in other countries, discuss the health determinants and examine their impact on Nevadans’ health. The chapter concludes with the recommendations on strategies to improve health of Nevada residents. Additional resources include the national, state and community public health organizations (Appendix 1) and examples of public health related legislative actions in Nevada (Appendix 2).

In the last several decades, there has been growing interest in how modifiable risk factors contribute to disease and mortality rates. Studies point to five key domains as the principal determinants of health: (a) genetic predisposition, (b) social circumstances, (c) environmental conditions, (d) health behaviors, and (e) medical care. It is estimated that as much as 60% of disease risk is attributable to modifiable factors, such as health behaviors, social circumstances, and environmental conditions (McGinnis, Williams-Ruso, & Knickman, 2002). In recent years, health behaviors (e.g. tobacco use, poor diet, and physical inactivity) and social determinants (e.g. poverty, access to health care) have been singled out as contributing to health inequalities (Lewis & Burb-Sharps, 2010; Marmot, 2005). The effect of behavioral and social determinants of health outcomes is evident throughout the U.S and Nevada.


Health outcomes; Health determinants; Nevada's disease prevalence; Health indicators


Community-Based Research | Medicine and Health

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Yamashita, T & Millar, R, 2017. “Disease Prevalence and Health Determinants in Nevada.” In the Social Health of Nevada: Leading Indicators and Quality of Life in the Silver State, edited by D. N. Shalin. Las Vegas, NV: UNLV Center for Democratic Culture, http://cdclv.unlv.edu