More women are binge drinking, saying they downed five or more drinks at a single occasion in the past month, and fewer are being screened for cervical cancer. Over all, more women are obese, diabetic and hypertensive than just a few years ago, and more are testing positive for chlamydia, a sexually transmitted disease linked to infertility.

The latest health report card for women, issued on Thursday by the National Women’s Law Center and Oregon Health and Science University, paints a dismal picture, giving the United States an overall general grade of Unsatisfactory, with many F’s on specific goals set by the government’s Healthy People 2010 initiative.

“The takeaway message is that we’re really not where we should be,” said Dr. Michelle Berlin, an associate professor of obstetrics and gynecology at the Oregon Health and Science University School of Medicine and associate director of the university’s Center for Women’s Health. “We’ve had 10 years of doing this report card, and you would hope the needle would have moved more than it has.”

While screening rates for colorectal cancer and high cholesterol have improved since the last report card was issued in 2007, and fewer women are smoking and dying of stroke or coronary heart disease, obesity continues to be a growing problem, with 26.4 percent of women considered obese, up from 24 percent in 2007. The objective of Healthy People 2010 is to reduce that rate to 15 percent.