Researchers at the Institute for Women’s Policy Research recently crunched nearly two decades worth of national data to gauge female wellness across the country — and uncovered a roster of disturbing health trends.

While certain indicators have generally improved in recent years — national mortality rates from heart disease and breast cancer have dipped, for example — several others show a need for prompt attention, said Cynthia Hess, study director at IWPR.

“Health isn’t something that exists in a vacuum,” said Hess, who used data from the CDC’s Behavioral Risk Factor Surveillance System Survey . “It’s connected to economic security, access to affordable health care, housing quality, access to healthy food and racism.”