Chronic diseases such as heart disease, stroke, diabetes and many cancers are among the most common, costly and preventable of all health problems in both the United States and Ohio. Chronic disease is associated with reduced quality of life, poor health outcomes, increased healthcare needs and higher healthcare costs. Unfortunately, Ohioans have a higher burden of chronic disease compared to many other states and the nation. In 2016, Ohio adults had a higher prevalence of heart disease, stroke, diabetes, cancer, chronic obstructive pulmonary disease, kidney disease, asthma and arthritis compared with U.S. adults. In addition, Ohio ranks among the worst in the country for cancer deaths (40th), cardiovascular deaths (39th) and diabetes (31st).