Table 2.

Prevalence of Obesity^a Among U.S. Children Enrolled in Head Start, by State and Year, Head Start Program Information Reports, 2012–2018.

	2012		2013		2014		2015		2016		2017		2018		2012–2018
State/District	No. of children	% Obesity	No. of children	% Obesity	No. of children	% Obesity	No. of children	% Obesity	No. of children	% Obesity	No. of children	% Obesity	No. of children	% Obesity	Average Annual Changeb	95% Confidence Interval
Overall	906,194	15.5	895,743	15.6	850,645	16.2	858,627	16.5	819,997	16.3	787,402	16.7	759,791	16.6	+0.20**	[0.09, 0.31]
Alabama	18,031	13.0	17,980	12.6	16,979	15.1	16,723	15.7	16,620	15.1	14,448	13.8	14,170	13.5	+0.14	[−0.47, 0.75]
Alaska	3,155	25.7	3,203	23.8	3,009	25.0	2,986	27.5	2,889	27.0	2,819	24.5	2,793	27.1	+0.27	[−0.43, 0.97]
Arizona	18,921	15.8	18,807	16.6	17,088	17.3	18,143	17.7	17,557	17.4	16,686	17.4	15,928	16.7	+0.16	[−0.14, 0.46]
Arkansas	10,090	16.7	10,639	16.1	9,789	17.2	9,734	17.4	8,895	17.4	8,864	17.9	8,157	17.7	+0.24*	[0.07, 0.42]
California	110,075	18.6	109,624	18.5	104,393	18.7	104,291	18.3	96,441	17.9	89,585	17.9	84,878	17.1	−0.23**	[−0.36, −0.10]
Colorado	11,418	10.8	11,282	12.5	11,522	13.6	11,227	13.5	10,596	13.5	9,595	13.6	9,478	14.9	+0.51**	[0.19, 0.84]
Connecticut	7,775	13.9	7,694	16.5	6,843	18.0	6,660	16.9	5,878	17.3	5,780	18.8	5,875	18.8	+0.66*	[0.18, 1.14]
Delaware	1,265	19.3	1,269	16.9	1,251	21.7	1,249	21.8	2,087	20.4	2,018	18.8	1,888	21.2	+0.29	[−0.60, 1.19]
District of Columbia	3,833	16.3	2,761	14.7	6,326	10.7	5,972	9.1	5,415	12.3	5,521	13.8	5,486	12.7	−0.39	[−1.60, 0.81]
Florida	37,263	16.5	36,593	17.4	37,563	18.1	38,242	17.8	37,205	17.1	37,604	17.3	36,894	17.2	+0.03	[−0.24, 0.30]
Georgia	25,237	15.2	25,054	15.6	23,667	16.5	24,075	15.4	23,525	16.3	21,212	15.1	22,005	14.6	−0.11	[−0.44, 0.23]
Hawaii	3,035	16.7	3,126	12.6	3,041	13.4	3,090	14.2	3,033	13.7	2,753	15.4	2,652	14.8	+0.01	[−0.72, 0.73]
Idaho	3,745	13.9	3,736	13.2	3,422	15.1	3,611	13.3	3,552	14.3	3,333	16.3	3,317	14.1	+0.21	[−0.31, 0.74]
Illinois	43,537	13.8	42,747	16.7	40,656	18.4	40,060	18.6	36,460	17.4	34,982	17.3	30,303	17.9	+0.45	[−0.25, 1.14]
Indiana	16,091	16.1	14,965	18.1	15,165	18.1	15,676	19.6	14,855	19.5	14,392	18.5	14,125	17.0	+0.17	[−0.47, 0.82]
Iowa	7,630	17.6	7,479	17.7	6,771	18.1	6,892	19.3	6,623	18.4	6,332	19.3	6,358	18.5	+0.22	[−0.04, 0.49]
Kansas	8,742	17.9	8,462	16.0	6,834	17.8	7,817	16.2	7,391	17.1	6,772	17.4	6,529	16.2	−0.11	[−0.52, 0.30]
Kentucky	16,974	18.5	17,385	19.5	16,709	19.3	16,803	20.5	16,016	18.5	15,620	18.1	13,992	17.4	−0.25	[−0.71, 0.22]
Louisiana	21,737	10.5	22,207	11.4	20,877	12.0	21,806	11.5	20,979	12.6	18,527	14.2	19,355	14.9	+0.69**	[0.41, 0.97]
Maine	3,503	16.0	3,181	17.4	2,772	18.5	2,890	18.8	2,741	17.4	2,726	17.5	2,638	18.5	+0.24	[−0.20, 0.67]
Maryland	11,037	11.3	10,693	12.5	10,357	14.0	9,997	13.5	9,850	12.5	8,567	14.8	8,544	14.8	+0.49*	[0.07, 0.90]
Massachusetts	13,806	19.0	13,516	19.0	11,858	20.3	12,819	19.4	12,362	19.0	11,955	20.1	11,646	19.7	+0.11	[−0.16, 0.37]
Michigan	36,876	15.4	37,134	14.4	34,032	16.1	31,576	16.6	30,702	16.4	27,739	16.7	27,069	16.6	+0.30*	[0.02, 0.59]
Minnesota	14,305	18.6	14,212	18.2	13,388	18.4	13,532	18.7	13,170	19.1	12,798	20.4	12,170	17.8	+0.1	[−0.33, 0.53]
Mississippi	27,958	19.5	27,797	18.0	24,953	17.2	26,217	18.5	20,881	19.6	22,529	20.1	22,023	20.5	+0.34	[−0.15, 0.84]
Missouri	18,558	18.4	18,201	18.9	16,693	18.6	16,901	18.7	15,000	18.2	13,567	18.8	13,153	16.9	−0.18	[−0.48, 0.12]
Montana	4,490	14.1	4,583	13.1	4,350	11.8	4,198	16.6	4,435	14.8	4,351	13.7	4,296	13.7	+0.11	[−0.67, 0.89]
Nebraska	5,087	16.8	5,029	17.7	4,615	18.2	4,732	16.7	4,399	18.0	4,058	18.7	4,043	18.0	+0.19	[−0.13, 0.51]
Nevada	3,730	19.1	3,701	13.1	3,416	11.4	3,165	13.2	3,382	12.9	3,083	12.2	3,182	13.3	−0.63	[−1.76, 0.49]
New Hampshire	1,712	18.3	1,699	15.2	1,515	16.1	1,489	18.9	1,493	19.1	1,437	19.6	1,395	19.4	+0.54	[−0.14, 1.22]
New Jersey	16,313	13.4	13,951	12.9	13,311	13.6	13,826	16.7	13,894	14.8	13,162	19.1	12,857	18.9	+1.08**	[0.43, 1.72]
New Mexico	8,990	15.0	8,858	14.0	8,332	14.8	8,331	14.2	8,208	14.4	8,006	15.1	7,846	14.6	+0.02	[−0.20, 0.24]
New York	56,329	12.0	54,191	11.1	54,527	11.4	54,473	11.1	53,817	12.2	51,499	13.0	48,287	13.6	+0.34	[−0.00, 0.67]
North Carolina	22,360	14.3	22,570	15.5	21,516	15.1	21,367	16.3	19,698	17.8	19,959	18.4	19,549	16.6	+0.55*	[0.10, 1.00]
North Dakota	3,147	19.0	3,224	19.5	2,932	17.6	3,152	17.1	2,981	17.3	2,808	18.3	2,629	14.7	−0.56*	[−1.09, −0.02]
Ohio	42,347	14.3	42,280	15.1	37,599	15.9	36,938	15.9	35,916	15.8	34,549	16.9	33,560	17.0	+0.41**	[0.25, 0.58]
Oklahoma	17,904	12.6	18,007	13.6	16,868	14.7	16,460	14.2	16,304	14.2	16,073	14.5	15,612	14.9	+0.29*	[0.05, 0.54]
Oregon	13,912	17.2	14,124	17.0	13,915	17.5	14,283	17.1	13,976	18.1	14,383	17.8	13,929	16.0	−0.05	[−0.40, 0.30]
Pennsylvania	37,349	11.8	36,958	12.6	33,763	13.8	36,751	15.6	34,122	14.7	34,730	15.4	33,789	16.3	+0.71**	[0.39, 1.03]
Rhode Island	2,861	18.7	2,771	19.7	2,381	20.2	2,736	20.1	2,690	18.8	2,523	18.5	2,363	23.8	+0.41	[−0.44, 1.26]
South Carolina	13,021	12.7	13,352	11.4	13,126	15.6	13,127	12.3	12,144	12.4	11,839	11.9	11,594	12.5	−0.1	[−0.81, 0.61]
South Dakota	4,569	14.1	4,524	15.0	3,929	17.0	4,141	18.5	4,267	16.7	4,192	17.5	4,092	17.0	+0.48	[−0.10, 1.06]
Tennessee	18,679	16.0	18,511	16.7	17,367	16.6	17,952	18.5	17,975	18.3	17,234	18.6	17,502	16.3	+0.23	[−0.31, 0.77]
Texas	75,545	15.6	74,815	15.1	72,063	14.5	72,536	16.4	71,315	16.0	70,441	16.1	66,819	16.6	+0.23	[−0.06, 0.53]
Utah	6,517	15.4	6,535	14.3	6,117	14.4	6,318	13.7	6,229	12.9	5,989	13.1	5,623	13.5	−0.34*	[−0.58, −0.10]
Vermont	1,391	20.1	1,360	16.8	1,190	15.0	1,242	17.3	1,169	19.8	1,083	20.9	1,110	19.6	+0.41	[−0.63, 1.45]
Virginia	14,612	15.8	14,568	14.6	14,095	17.8	14,450	14.5	14,163	14.1	14,123	15.6	14,017	17.0	+0.07	[−0.66, 0.79]
Washington	14,154	16.4	13,948	16.6	13,563	18.5	13,438	18.5	12,750	18.4	12,300	19.5	12,185	18.8	+0.46*	[0.15, 0.77]
West Virginia	8,285	12.6	8,287	13.4	7,803	12.5	7,972	15.2	8,036	15.3	7,782	16.9	7,663	15.8	+0.69**	[0.26, 1.12]
Wisconsin	16,349	17.0	16,215	17.3	14,584	17.8	14,777	17.8	14,244	17.1	13,452	18.2	12,833	18.4	+0.19*	[0.00, 0.38]
Wyoming	1,944	8.5	1,935	12.5	1,810	11.5	1,784	10.9	1,667	14.1	1,622	11.3	1,590	13.1	+0.5	[−0.27, 1.27]

^aWeight status based on BMI-for-age percentile (kg/m²), with obesity defined as BMI ≥95th percentile.

^bAverage Annual Change is measured in absolute percentage points and represents the coefficient from the simple linear regression;

^*= p < 0.05,

^**= p < 0.01,

^***= p < 0.001.

Significant values, with p < 0.05 by linear regression, are in bold.