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American Focus > Blog > Health and Wellness > Puerto Rico reports highest rates of poor physical health compared to 50 states
Health and Wellness

Puerto Rico reports highest rates of poor physical health compared to 50 states

Last updated: May 14, 2025 8:56 am
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Puerto Rico reports highest rates of poor physical health compared to 50 states
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Virgin Islands, and 22.3% in Puerto Rico. This shows that individuals living in the territories are more likely to report having fair or poor general health compared to those living in the states.

The study also found disparities in physical health-related quality of life indicators, such as the percentage of individuals reporting having poor physical health days. In the states, 10.5% reported having 14 or more days of poor physical health, compared to 13.5% in Guam, 14.2% in the U.S. Virgin Islands, and 17.7% in Puerto Rico. These findings highlight the challenges faced by individuals living in the territories in terms of physical health.

McSorley believes that these disparities are likely due to a combination of social, economic, and environmental factors. Limited access to healthcare, higher rates of poverty, and exposure to natural disasters may all contribute to the poorer health outcomes reported by individuals in Puerto Rico, Guam, and the U.S. Virgin Islands.

The findings of this study emphasize the importance of including territories in federal data collection systems and developing targeted interventions to address the health disparities faced by these populations. By understanding the unique challenges faced by individuals in the territories, public health officials can work towards improving the overall health and well-being of all residents of the United States.

Moving forward, McSorley hopes to continue researching health disparities in the territories and advocating for greater inclusion of these populations in federal data systems. By shedding light on the health challenges faced by individuals in Puerto Rico, Guam, and the U.S. Virgin Islands, she hopes to drive positive change and improve health outcomes for all residents of these regions.

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Overall, the data on health disparities in U.S. territories like Puerto Rico, the U.S. Virgin Islands, and Guam highlight the urgent need for increased attention to mental health and overall well-being in these regions. The findings from the study conducted by McSorley shed light on the concerning trends in mental health outcomes in these territories compared to the 50 states.

With mental health outcomes being consistently poor in all three territories, there is a clear need for targeted interventions and resources to address these issues at a population level. McSorley’s commitment to expanding mental health initiatives, such as the 988 crisis hotline, to the territories is a step in the right direction towards improving mental health services and support for residents in these regions.

Furthermore, efforts to increase data equity and inclusion of U.S. territories in federal data collection systems are crucial for understanding and addressing the unique health challenges faced by residents in these areas. By advocating for the integration of territorial data in research and policy discussions, McSorley is working towards ensuring that the health needs of all populations, regardless of their geographic location, are recognized and addressed.

As federal databases face challenges and potential limitations, the importance of data equity and representation for U.S. territories becomes even more pronounced. McSorley’s ongoing work to promote territorial data equity and disseminate key findings to health officials underscores the significance of addressing health disparities and improving overall well-being in these regions.

Ultimately, the data presented in this study serve as a call to action for policymakers, healthcare providers, and community leaders to prioritize mental health and address the underlying factors contributing to poor health outcomes in U.S. territories. By working together to implement targeted interventions and support systems, we can strive towards creating healthier and more equitable communities for all residents, regardless of where they reside.

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