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American life expectancy dropped in 2021 for the second year in a row and represents the largest two-year decline since 1921-1923. The average life span across the entire population is 76.1 years – the lowest since 1996. Life expectancy can be affected by numerous factors, from genetics to air quality to economic opportunities.
Stacker used data from the 2023 County Health Rankings to determine the 25 states where people live the longest. The 2023 County Health Rankings values were calculated using mortality counts from the 2018-2020 National Center for Health Statistics. The U.S. Census 2021 American Community Survey and America’s Health Rankings Senior Report 2023 data were also used to provide demographics on the senior population of each state and the state’s rank on senior health care, respectively. Please note that in the data below, the demographics for Native Hawaiians and other Pacific Islanders were left out due to being less than 0.5% of the senior population. The two exceptions on this list are Utah (0.5%) and Hawaii (7.0%).
Keep reading to see if your home state made the list of areas where people live the longest.
25. Maine
- Average life expectancy: 78.6
- Total seniors in the state: 297,101 (21.7% of state population)
- Health care for seniors rank: #12
- Senior demographics:
- Median age: 73.0
- Breakdown by sex: 46.2% male, 53.8% female
- Breakdown by race: 95.4% White, 0.4% Black or African American, 0.7% Hispanic or Latino, 0.7% Asian, 0.2% Native American or Alaska Native
24. Maryland
- Average life expectancy: 78.6
- Total seniors in the state: 1,003,383 (16.3% of state population)
- Health care for seniors rank: #13
- Senior demographics:
- Median age: 73.1
- Breakdown by sex: 43.7% male, 56.3% female
- Breakdown by race: 63.2% White, 25.0% Black or African American, 3.8% Hispanic or Latino, 5.8% Asian, 0.2% Native American or Alaska Native
23. Illinois
- Average life expectancy: 78.6
- Total seniors in the state: 2,103,309 (16.6% of state population)
- Health care for seniors rank: #27
- Senior demographics:
- Median age: 73.0
- Breakdown by sex: 44.5% male, 55.5% female
- Breakdown by race: 74.9% White, 11.4% Black or African American, 7.9% Hispanic or Latino, 4.8% Asian, 0.3% Native American or Alaska Native
22. Iowa
- Average life expectancy: 78.7
- Total seniors in the state: 567,581 (17.8% of state population)
- Health care for seniors rank: #23
- Senior demographics:
- Median age: 73.1
- Breakdown by sex: 45.8% male, 54.2% female
- Breakdown by race: 94.8% White, 1.3% Black or African American, 1.8% Hispanic or Latino, 0.8% Asian, 0.2% Native American or Alaska Native
21. North Dakota
- Average life expectancy: 78.8
- Total seniors in the state: 123,840 (16.0% of state population)
- Health care for seniors rank: #20
- Senior demographics:
- Median age: 73.0
- Breakdown by sex: 46.8% male, 53.2% female
- Breakdown by race: 95.4% White, 0.3% Black or African American, 0.8% Hispanic or Latino, 0.5% Asian, 1.9% Native American or Alaska Native
20. Wisconsin
- Average life expectancy: 78.9
- Total seniors in the state: 1,054,247 (17.9% of state population)
- Health care for seniors rank: #10
- Senior demographics:
- Median age: 72.8
- Breakdown by sex: 46.3% male, 53.7% female
- Breakdown by race: 92.4% White, 3.1% Black or African American, 2.0% Hispanic or Latino, 1.0% Asian, 0.4% Native American or Alaska Native
19. Nebraska
- Average life expectancy: 79.0
- Total seniors in the state: 322,833 (16.4% of state population)
- Health care for seniors rank: #21
- Senior demographics:
- Median age: 72.9
- Breakdown by sex: 45.8% male, 54.2% female
- Breakdown by race: 91.5% White, 2.3% Black or African American, 3.5% Hispanic or Latino, 1.2% Asian, 0.4% Native American or Alaska Native
18. Arizona
- Average life expectancy: 79.1
- Total seniors in the state: 1,333,985 (18.3% of state population)
- Health care for seniors rank: #32
- Senior demographics:
- Median age: 73.4
- Breakdown by sex: 46.4% male, 53.6% female
- Breakdown by race: 79.7% White, 2.5% Black or African American, 13.6% Hispanic or Latino, 2.3% Asian, 2.1% Native American or Alaska Native
17. Virginia
- Average life expectancy: 79.1
- Total seniors in the state: 1,406,480 (16.3% of state population)
- Health care for seniors rank: #31
- Senior demographics:
- Median age: 73.0
- Breakdown by sex: 44.8% male, 55.2% female
- Breakdown by race: 73.7% White, 16.2% Black or African American, 3.4% Hispanic or Latino, 5.1% Asian, 0.2% Native American or Alaska Native
16. Idaho
- Average life expectancy: 79.2
- Total seniors in the state: 314,010 (16.5% of state population)
- Health care for seniors rank: #34
- Senior demographics:
- Median age: 72.8
- Breakdown by sex: 47.6% male, 52.4% female
- Breakdown by race: 91.6% White, 0.2% Black or African American, 4.1% Hispanic or Latino, 0.8% Asian, 0.6% Native American or Alaska Native
15. Rhode Island
- Average life expectancy: 79.4
- Total seniors in the state: 200,201 (18.3% of state population)
- Health care for seniors rank: #4
- Senior demographics:
- Median age: 73.4
- Breakdown by sex: 44.3% male, 55.7% female
- Breakdown by race: 86.4% White, 3.2% Black or African American, 6.5% Hispanic or Latino, 1.5% Asian, 0.2% Native American or Alaska Native
14. New Jersey
- Average life expectancy: 79.5
- Total seniors in the state: 1,563,621 (16.9% of state population)
- Health care for seniors rank: #25
- Senior demographics:
- Median age: 73.2
- Breakdown by sex: 44.0% male, 56.0% female
- Breakdown by race: 70.6% White, 10.0% Black or African American, 11.2% Hispanic or Latino, 7.6% Asian, 0.1% Native American or Alaska Native
13. New Hampshire
- Average life expectancy: 79.6
- Total seniors in the state: 267,741 (19.3% of state population)
- Health care for seniors rank: #10
- Senior demographics:
- Median age: 72.7
- Breakdown by sex: 46.5% male, 53.5% female
- Breakdown by race: 95.0% White, 0.5% Black or African American, 1.3% Hispanic or Latino, 1.3% Asian, 0.0% Native American or Alaska Native
12. Vermont
- Average life expectancy: 79.7
- Total seniors in the state: 133,173 (20.6% of state population)
- Health care for seniors rank: #18
- Senior demographics:
- Median age: 72.6
- Breakdown by sex: 46.9% male, 53.1% female
- Breakdown by race: 95.9% White, 0.5% Black or African American, 0.9% Hispanic or Latino, 0.6% Asian, 0.1% Native American or Alaska Native
11. Utah
- Average life expectancy: 79.7
- Total seniors in the state: 388,120 (11.6% of state population)
- Health care for seniors rank: #33
- Senior demographics:
- Median age: 72.7
- Breakdown by sex: 47.2% male, 52.8% female
- Breakdown by race: 89.9% White, 0.5% Black or African American, 6.3% Hispanic or Latino, 2.1% Asian, 0.6% Native American or Alaska Native
10. Oregon
- Average life expectancy: 79.7
- Total seniors in the state: 789,896 (18.6% of state population)
- Health care for seniors rank: #29
- Senior demographics:
- Median age: 72.8
- Breakdown by sex: 46.1% male, 53.9% female
- Breakdown by race: 88.2% White, 1.0% Black or African American, 4.1% Hispanic or Latino, 3.0% Asian, 0.6% Native American or Alaska Native
9. Florida
- Average life expectancy: 79.7
- Total seniors in the state: 4,598,996 (21.1% of state population)
- Health care for seniors rank: #38
- Senior demographics:
- Median age: 73.9
- Breakdown by sex: 45.5% male, 54.5% female
- Breakdown by race: 73.7% White, 8.9% Black or African American, 16.1% Hispanic or Latino, 2.1% Asian, 0.1% Native American or Alaska Native
8. Colorado
- Average life expectancy: 80.0
- Total seniors in the state: 880,167 (15.1% of state population)
- Health care for seniors rank: #9
- Senior demographics:
- Median age: 72.5
- Breakdown by sex: 46.5% male, 53.5% female
- Breakdown by race: 83.6% White, 2.7% Black or African American, 10.9% Hispanic or Latino, 2.3% Asian, 0.7% Native American or Alaska Native
7. Connecticut
- Average life expectancy: 80.1
- Total seniors in the state: 649,172 (18.0% of state population)
- Health care for seniors rank: #3
- Senior demographics:
- Median age: 73.4
- Breakdown by sex: 44.5% male, 55.5% female
- Breakdown by race: 82.5% White, 6.7% Black or African American, 7.1% Hispanic or Latino, 2.6% Asian, 0.1% Native American or Alaska Native
6. Massachusetts
- Average life expectancy: 80.2
- Total seniors in the state: 1,216,447 (17.4% of state population)
- Health care for seniors rank: #2
- Senior demographics:
- Median age: 73.2
- Breakdown by sex: 44.2% male, 55.8% female
- Breakdown by race: 84.5% White, 4.3% Black or African American, 5.2% Hispanic or Latino, 4.2% Asian, 0.2% Native American or Alaska Native
5. Washington
- Average life expectancy: 80.2
- Total seniors in the state: 1,251,640 (16.2% of state population)
- Health care for seniors rank: #15
- Senior demographics:
- Median age: 72.7
- Breakdown by sex: 46.1% male, 53.9% female
- Breakdown by race: 83.2% White, 2.1% Black or African American, 3.8% Hispanic or Latino, 7.3% Asian, 0.8% Native American or Alaska Native
4. New York
- Average life expectancy: 80.3
- Total seniors in the state: 3,477,337 (17.5% of state population)
- Health care for seniors rank: #6
- Senior demographics:
- Median age: 73.3
- Breakdown by sex: 43.9% male, 56.1% female
- Breakdown by race: 68.0% White, 11.8% Black or African American, 12.0% Hispanic or Latino, 7.3% Asian, 0.3% Native American or Alaska Native
3. Minnesota
- Average life expectancy: 80.4
- Total seniors in the state: 959,272 (16.8% of state population)
- Health care for seniors rank: #1
- Senior demographics:
- Median age: 72.9
- Breakdown by sex: 46.2% male, 53.8% female
- Breakdown by race: 91.9% White, 2.4% Black or African American, 1.6% Hispanic or Latino, 2.2% Asian, 0.4% Native American or Alaska Native
2. California
- Average life expectancy: 81.1
- Total seniors in the state: 5,964,526 (15.2% of state population)
- Health care for seniors rank: #8
- Senior demographics:
- Median age: 73.1
- Breakdown by sex: 45.1% male, 54.9% female
- Breakdown by race: 55.8% White, 5.1% Black or African American, 21.8% Hispanic or Latino, 16.6% Asian, 0.8% Native American or Alaska Native
1. Hawaii
- Average life expectancy: 82.3
- Total seniors in the state: 282,567 (19.6% of state population)
- Health care for seniors rank: #22
- Senior demographics:
- Median age: 73.5
- Breakdown by sex: 45.9% male, 54.1% female
- Breakdown by race: 27.2% White, 0.9% Black or African American, 3.2% Hispanic or Latino, 51.7% Asian, 0.2% Native American or Alaska Native
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