Preventing Chronic Disease and Promoting Health in Michigan:
How Well are We Doing as a State?

$66 billion a year is spent on health care in Michigan.
Chronic diseases and injuries are the biggest contributors to rising health care costs in our state, killing more Michigan residents, causing more disability, and robbing more people of quality of life than any other group of diseases or health conditions.

Nationally, half of all adults have at least one chronic disease or condition, and nearly one-third of adults have two or more. With increasing age comes increased risk. Three in four U.S. adults age 65 and older live with two or more chronic conditions, increasing the possibility that they will face serious hurdles when attempting to carry out the activities of their daily lives.1, 2

Injuries also take a huge toll, killing more Americans between the ages of 1 and 44 than any other cause, including cancer, HIV or the flu. In addition, millions more are injured each year and survive, facing life-long mental, physical, and financial problems as a result of their injuries.3

The causes of many chronic diseases and injuries are well known. In fact, a handful of common risk factors are behind the majority of cases. By focusing our efforts on these shared risk factors and taking action to improve our health and the health of our communities, we can prevent as much as 70 percent — seven out of 10 — of all chronic disease cases and an even higher percentage of injuries.

So, how well are we doing as a state in our attempts to control chronic diseases and injuries and improve the health of our residents? The Michigan-based indicators in this series help provide an answer. Known collectively as the Michigan Coordinated Chronic Disease Prevention and Health Promotion Indicators, they have been selected for their timeliness and ability to help illustrate the health of our state's residents.

As you explore the indicators in this series, you will find that each one includes interactive graphs and/or maps to illustrate the indicator, as well as:
  • a definition of what is being measured;
  • information about what the indicator measures and why the indicator is important;
  • links to State of Michigan programs related to the topic;
  • links to data sources used in building the indicator;
  • a link to an accessible Microsoft Excel file that presents the data in a format designed especially for people who use screen reader software;
  • instructions for downloading and using the interactive indicator files in presentations;
  • an e-mail link to use when requesting more information about the data behind the indicator; and
  • a drop-down menu for navigating between indicator pages.




1. National Center for Chronic Disease Prevention and Health Promotion. Multiple Chronic Conditions. Accessed September 17, 2018.
2. Gerteis J, Izrael D, Deitz D, et al. Multiple Chronic Conditions Chartbook. AHRQ Publications No. Q14-0038. (Rockville, MD: Agency for Healthcare Research and Quality. April 2014.)
3. Centers for Disease Control and Prevention. Injury Prevention and Control. Accessed March 9, 2015.


We would like to thank M. Catherine McAdam, ACSW, of the Michigan Disability Rights Coalition for her invaluable assistance in testing the accessible spreadsheets for this set of indicators and advising us on their optimal formatting.