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. 2019 Nov 22;68(46):1057–1061. doi: 10.15585/mmwr.mm6846a3

TABLE. Prevalence of obesity among children aged 2–4 years enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), by WIC state or territory agency — United States, 2010─2016.

State 2010
2016
2016 versus 2010
No. Crude prevalence % (95% CI) No. Crude prevalence % (95% CI) Adjusted prevalence 
ratio*(95% CI) Adjusted prevalence
 difference % (95% CI)
Alabama§,¶
45,743
15.8 (15.5 to 16.2)
42,671
16.3 (15.9 to 16.6)
1.03 (1.00 to 1.06)
0.5 (0.0 to 1.0)
Alaska**
10,108
21.2 (20.4 to 22.0)
5,983
19.8 (18.8 to 20.8)
0.92 (0.86 to 0.97)
–1.6 (–2.8 to –0.3)
Arizona**
72,933
15.0 (14.8 to 15.3)
58,054
12.1 (11.8 to 12.3)
0.81 (0.79 to 0.84)
–2.7 (–3.1 to –2.4)
Arkansas**
31,245
14.8 (14.4 to 15.2)
23,647
13.3 (12.8 to 13.7)
0.90 (0.87 to 0.94)
–1.4 (–2.0 to –0.8)
California**
583,008
18.4 (18.3 to 18.5)
495,095
15.5 (15.4 to 15.6)
0.86 (0.86 to 0.87)
–2.5 (–2.6 to –2.3)
Colorado**
39,612
9.6 (9.3 to 9.8)
31,307
8.1 (7.8 to 8.4)
0.85 (0.81 to 0.90)
–1.4 (–1.8 to –1.0)
Connecticut**
22,988
17.1 (16.6 to 17.6)
18,748
14.4 (13.9 to 14.9)
0.87 (0.83 to 0.91)
–2.2 (–2.9 to –1.5)
Delaware
7,650
18.4 (17.5 to 19.2)
6,906
16.2 (15.3 to 17.0)
0.93 (0.87 to 1.00)
–1.1 (–2.3 to 0.2)
District of Columbia**
5,182
14.4 (13.5 to 15.4)
5,181
11.4 (10.5 to 12.3)
0.83 (0.75 to 0.91)
–2.4 (–3.7 to –1.1)
Florida**
194,924
14.6 (14.4 to 14.7)
193,749
12.7 (12.6 to 12.9)
0.87 (0.86 to 0.89)
–1.8 (–2.0 to –1.6)
Georgia**
104,959
14.4 (14.2 to 14.6)
78,023
12.5 (12.3 to 12.8)
0.88 (0.86 to 0.90)
–1.8 (–2.1 to –1.4)
Hawaii
14,504
9.7 (9.3 to 10.2)
11,589
9.6 (9.1 to 10.1)
0.98 (0.91 to 1.06)
–0.2 (–0.9 to 0.6)
Idaho**
18,704
11.9 (11.5 to 12.4)
14,521
11.3 (10.8 to 11.8)
0.95 (0.89 to 1.00)
–0.6 (–1.3 to 0.1)
Illinois**
108,762
15.7 (15.5 to 15.9)
79,949
14.8 (14.6 to 15.0)
0.98 (0.96 to 1.00)
–0.3 (–0.6 to 0.1)
Indiana**
63,220
15.1 (14.8 to 15.4)
55,955
13.0 (12.7 to 13.2)
0.91 (0.88 to 0.93)
–1.4 (–1.8 to –1.0)
Iowa
29,481
15.6 (15.2 to 16.0)
24,427
15.2 (14.8 to 15.7)
1.00 (0.96 to 1.04)
0.0 (–0.6 to 0.6)
Kansas**
30,458
13.7 (13.4 to 14.1)
24,306
12.5 (12.1 to 12.9)
0.91 (0.87 to 0.95)
–1.3 (–1.8 to –0.7)
Kentucky**
45,761
18.2 (17.9 to 18.6)
38,361
15.9 (15.6 to 16.3)
0.88 (0.85 to 0.91)
–2.2 (–2.7 to –1.7)
Louisiana**
48,145
13.8 (13.5 to 14.1)
37,527
13.2 (12.9 to 13.6)
0.94 (0.91 to 0.98)
–0.8 (–1.2 to –0.3)
Maine**
10,410
15.2 (14.6 to 15.9)
8,233
13.9 (13.2 to 14.7)
0.92 (0.85 to 0.98)
–1.3 (–2.3 to –0.2)
Maryland**
51,280
17.1 (16.8 to 17.4)
50,469
15.6 (15.3 to 16.0)
0.92 (0.90 to 0.95)
–1.3 (–1.8 to –0.9)
Massachusetts**
49,178
17.1 (16.8 to 17.5)
41,740
16.4 (16.0 to 16.7)
0.94 (0.91 to 0.96)
–1.0 (–1.5 to –0.6)
Michigan**
85,293
14.4 (14.2 to 14.6)
84,387
13.3 (13.1 to 13.5)
0.95 (0.93 to 0.97)
–0.7 (–1.0 to –0.3)
Minnesota**
57,529
12.7 (12.4 to 13.0)
47,219
12.2 (11.9 to 12.5)
0.95 (0.92 to 0.98)
–0.6 (–1.0 to –0.2)
Mississippi**
36,519
14.9 (14.6 to 15.3)
28,493
14.4 (14.0 to 14.8)
0.96 (0.92 to 0.99)
–0.6 (–1.2 to –0.1)
Missouri**
50,575
14.4 (14.1 to 14.8)
43,404
12.3 (12.0 to 12.6)
0.86 (0.83 to 0.88)
–2.1 (–2.5 to –1.6)
Montana
7,194
13.4 (12.6 to 14.2)
6,647
12.1 (11.3 to 12.8)
0.89 (0.82 to 0.97)
–1.5 (–2.6 to –0.4)
Nebraska
15,622
14.4 (13.8 to 14.9)
13,807
15.2 (14.6 to 15.7)
1.05 (1.00 to 1.11)
0.8 (0.0 to 1.6)
Nevada**
25,855
15.0 (14.6 to 15.5)
24,493
11.6 (11.2 to 12.0)
0.80 (0.77 to 0.84)
–2.9 (–3.5 to –2.3)
New Hampshire
7,263
15.0 (14.1 to 15.8)
6,042
15.8 (14.9 to 16.7)
1.05 (0.97 to 1.14)
0.8 (–0.5 to 2.0)
New Jersey**
59,000
18.9 (18.6 to 19.2)
53,917
15.0 (14.7 to 15.3)
0.80 (0.78 to 0.82)
–3.9 (–4.3 to –3.4)
New Mexico**
21,968
15.7 (15.2 to 16.1)
18,619
12.1 (11.6 to 12.5)
0.77 (0.73 to 0.81)
–3.7 (–4.4 to –3.0)
New York**
186,760
16.1 (16.0 to 16.3)
182,401
13.7 (13.6 to 13.9)
0.88 (0.87 to 0.89)
–1.9 (–2.1 to –1.7)
North Carolina§,¶
89,798
13.9 (13.6 to 14.1)
97,286
14.2 (14.0 to 14.5)
1.04 (1.02 to 1.06)
0.6 (0.3 to 0.9)
North Dakota
5,484
14.5 (13.5 to 15.4)
4,723
14.3 (13.3 to 15.3)
0.99 (0.90 to 1.09)
–0.1 (–1.4 to 1.3)
Ohio
102,803
12.6 (12.4 to 12.8)
74,753
12.4 (12.2 to 12.6)
0.98 (0.96 to 1.01)
–0.2 (–0.5 to 0.1)
Oklahoma**
37,849
15.4 (15.1 to 15.8)
34,486
13.1 (12.8 to 13.5)
0.85 (0.82 to 0.88)
–2.4 (–2.9 to –1.8)
Oregon**
43,209
15.8 (15.5 to 16.2)
34,485
14.7 (14.4 to 15.1)
0.94 (0.91 to 0.97)
–1.0 (–1.5 to –0.5)
Pennsylvania**
96,762
12.8 (12.6 to 13.1)
80,202
12.2 (12.0 to 12.4)
0.96 (0.94 to 0.98)
–0.5 (–0.8 to –0.2)
Rhode Island**
10,783
16.4 (15.7 to 17.1)
6,984
15.4 (14.5 to 16.2)
0.93 (0.86 to 0.99)
–1.2 (–2.3 to –0.1)
South Carolina**
39,785
13.3 (13.0 to 13.7)
32,399
11.4 (11.1 to 11.8)
0.89 (0.85 to 0.92)
–1.5 (–2.0 to –1.0)
South Dakota
7,884
17.3 (16.5 to 18.1)
6,771
17.1 (16.2 to 18.0)
0.95 (0.88 to 1.02)
–0.8 (–2.1 to 0.4)
Tennessee**
57,153
16.0 (15.7 to 16.3)
51,157
14.6 (14.3 to 14.9)
0.92 (0.89 to 0.94)
–1.3 (–1.8 to –0.9)
Texas**
361,823
16.9 (16.8 to 17.0)
268,787
14.6 (14.4 to 14.7)
0.89 (0.88 to 0.90)
–1.9 (–2.0 to –1.7)
Utah**
26,045
12.5 (12.1 to 12.9)
21,599
7.9 (7.6 to 8.3)
0.64 (0.60 to 0.67)
–4.6 (–5.1 to –4.0)
Vermont
6,964
13.8 (13.0 to 14.7)
5,254
14.5 (13.5 to 15.4)
1.04 (0.95 to 1.13)
0.6 (–0.7 to 1.8)
Virginia¶,**
48,920
21.5 (21.2 to 21.9)
47,376
15.3 (14.9 to 15.6)
0.73 (0.71 to 0.75)
–5.8 (–6.3 to –5.3)
Washington**
78,336
14.9 (14.6 to 15.1)
69,870
13.3 (13.0 to 13.5)
0.89 (0.87 to 0.91)
–1.6 (–2.0 to –1.3)
West Virginia§,¶
17,669
14.4 (13.9 to 14.9)
14,222
16.6 (16.0 to 17.2)
1.15 (1.09 to 1.21)
2.2 (1.4 to 3.0)
Wisconsin**
48,511
15.2 (14.9 to 15.5)
37,116
14.3 (14.0 to 14.7)
0.94 (0.91 to 0.97)
–0.9 (–1.4 to –0.4)
Wyoming**
4,413
11.8 (10.9 to 12.8)
3,458
9.1 (8.1 to 10.1)
0.76 (0.67 to 0.87)
–2.8 (–4.2 to –1.5)
Territory
American Samoa
3,221
14.6 (13.4 to 15.8)
2,824
13.7 (12.4 to 15.0)
0.94 (0.83 to 1.06)
–0.9 (–2.7 to 0.9)
Guam**
3,248
11.4 (10.3 to 12.5)
2,710
8.3 (7.3 to 9.4)
0.73 (0.62 to 0.85)
–3.1 (–4.6 to –1.6)
Northern Mariana Islands**
2,157
14.1 (12.6 to 15.6)
1,418
7.8 (6.4 to 9.2)
0.55 (0.45 to 0.68)
–6.4 (–8.4 to –4.4)
Puerto Rico**
70,699
20.3 (20.0 to 20.6)
63,251
12.0 (11.8 to 12.3)
0.60 (0.58 to 0.61)
–8.2 (–8.6 to –7.8)
U.S. Virgin Islands 2,093 12.4 (11.0 to 13.8) 1,593 13.1 (11.5 to 14.8) 1.07 (0.90 to 1.26) 0.8 (–1.4 to 3.0)

Abbreviation: CI = confidence interval.

* Obtained from log binomial regression model adjusted for age in month, sex, and race/ethnicity.

Calculated as 100 times the average marginal effect of year (2010 versus 2016) from logistic regression controlling for age, sex, and race. A negative value indicates that the prevalence decreased.

§ Statistically significant increase in obesity prevalence during 2010–2016 determined by trend test using log binomial regression model adjusted for age, sex, and race/ethnicity with all years of data included.

Change in the data reporting system in 2016 might affect obesity prevalence.

** Statistically significant decrease in obesity prevalence during 2010–2016 determined by trend test using log binomial regression model adjusted for age, sex, and race/ethnicity with all years of data included.