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← By Metro
Health Snapshot — By Metro
CDC PLACES county health data. Ranked by the share of adults reporting fair or poor health -- how people rate their own health, alongside obesity, diabetes, and frequent mental distress rates for context.
"Fair or poor health" is people describing their own health, not a diagnosis — CDC asks adults to rate it themselves, so it captures more than any single disease count. Obesity, diabetes, and frequent mental distress ride alongside it as context for what's shaping that number in a given county. All figures are age-adjusted, so an older or younger county doesn't look sicker or healthier purely from its age mix. These are county-wide rates, not a verdict on any one person who lives there.
85 metros ranked, worst self-rated health first
# Metro Population Counties Fair/Poor Health Obesity Diabetes Frequent Mental Distress
1 Texas 9,670,721 220 25.5% 38.7% 13.7% 18.3%
2 Monterey 437,613 1 25.4% 31.4% 11.6% 17.1%
3 Louisiana 2,754,986 47 24.6% 41.6% 13.4% 20.8%
4 Arkansas 2,471,665 72 24.2% 40.4% 11.8% 20.0%
5 West Virginia 1,778,373 55 23.8% 40.8% 12.9% 22.9%
6 Mississippi 2,946,779 82 23.5% 40.7% 13.6% 18.2%
7 California 11,281,795 40 23.3% 32.4% 10.9% 18.2%
8 New Mexico 2,120,246 33 23.2% 34.7% 11.5% 17.1%
9 Greater Los Angeles 12,974,487 2 22.7% 25.8% 11.2% 16.6%
10 Georgia 4,383,151 129 22.6% 38.0% 13.1% 19.0%
11 Tennessee 4,986,787 81 22.5% 38.9% 12.4% 20.7%
12 New Orleans 981,662 7 22.3% 38.5% 13.8% 19.2%
13 Greater San Antonio 2,662,733 8 22.0% 34.5% 13.1% 16.7%
14 Alabama 5,086,768 67 21.9% 39.6% 12.8% 18.2%
15 Baton Rouge 875,313 10 21.7% 37.4% 12.9% 19.4%
16 Nevada 3,184,612 17 21.5% 31.2% 10.6% 19.2%
17 Missouri 2,755,527 99 21.5% 38.3% 10.9% 19.4%
18 Oklahoma 4,028,634 77 20.6% 39.3% 11.6% 18.6%
19 Houston 7,442,788 10 20.6% 35.5% 12.4% 16.4%
20 Fort Worth 2,603,160 4 20.5% 33.2% 11.2% 17.6%
21 Northwest Arkansas 577,726 3 20.2% 36.0% 10.2% 17.5%
22 Greater Miami / South Florida 6,249,291 3 20.1% 29.2% 12.0% 16.0%
23 Youngstown 427,420 2 20.1% 39.3% 11.9% 19.9%
24 Richland 311,807 2 19.8% 36.0% 10.0% 16.9%
25 Ohio 4,707,274 63 19.5% 39.2% 11.5% 19.5%
26 South Carolina 4,865,895 43 19.4% 35.9% 11.9% 17.6%
27 Piedmont Triad (Greensboro-Winston-Salem-High Point) 1,724,503 10 19.3% 38.9% 10.9% 17.9%
28 Dallas 5,382,430 7 19.3% 34.5% 11.0% 16.3%
29 Illinois 2,861,906 80 19.1% 39.2% 10.4% 18.6%
30 Nashville 2,079,596 14 19.1% 34.5% 10.8% 18.9%
31 North Carolina 6,669,587 80 18.9% 35.4% 10.7% 17.7%
32 Greater Orlando 2,793,746 4 18.9% 34.0% 11.3% 16.5%
33 Detroit 4,376,828 6 18.9% 35.1% 10.4% 18.6%
34 Florida 10,068,349 56 18.8% 33.6% 10.6% 18.2%
35 the Sun Belt — Arizona 7,378,838 15 18.7% 31.7% 9.9% 16.2%
36 Alaska 735,706 30 18.6% 35.4% 9.1% 16.4%
37 Hampton Roads 1,735,331 15 18.6% 38.7% 12.0% 17.5%
38 Walla Walla 62,161 1 18.6% 35.4% 9.2% 17.7%
39 Silicon Valley 9,107,604 13 18.5% 25.1% 10.0% 15.7%
40 Michigan 5,331,111 76 18.5% 37.9% 10.0% 19.1%
41 Greater San Diego 3,288,774 1 18.4% 25.4% 9.4% 16.6%
42 Indianapolis 2,151,989 11 18.3% 36.8% 11.2% 17.1%
43 Milwaukee 1,568,938 4 18.3% 36.6% 10.6% 16.2%
44 Tampa Bay 3,304,691 4 18.2% 31.9% 10.8% 17.4%
45 Greater Cleveland 2,171,526 6 18.2% 36.1% 11.0% 17.7%
46 Washington State 2,253,744 29 18.2% 33.9% 9.3% 18.2%
47 Montana 932,137 49 18.1% 32.8% 8.5% 18.8%
48 Oregon 4,109,526 34 18.1% 33.6% 9.6% 18.6%
49 Greater Atlanta 6,256,377 29 18.0% 33.4% 11.5% 16.3%
50 Greater Chicago 9,371,595 13 17.7% 32.6% 10.3% 15.6%
51 Iowa 1,961,051 88 17.7% 39.7% 9.9% 17.7%
52 Greater St. Louis 2,810,850 15 17.5% 35.6% 9.9% 17.6%
53 Wyoming 582,397 23 17.5% 33.9% 9.3% 16.8%
54 Hawaii 1,445,235 5 17.4% 26.1% 10.2% 15.9%
55 New York City 19,798,537 22 17.4% 27.0% 10.1% 15.2%
56 Idaho (Boise) 1,934,262 44 17.3% 32.5% 9.0% 16.9%
57 Cincinnati 1,808,797 8 17.3% 36.1% 11.2% 17.9%
58 Kansas City 2,218,142 14 17.3% 35.8% 10.0% 17.0%
59 Greater Columbus 2,175,788 10 17.3% 34.4% 11.2% 17.7%
60 Greater Charlotte 430,330 3 17.1% 36.6% 10.8% 17.1%
61 Spokane 597,123 2 17.1% 34.7% 9.1% 18.2%
62 Colorado 1,812,743 51 17.0% 28.2% 8.6% 17.7%
63 Wisconsin 3,376,106 63 17.0% 38.9% 9.5% 17.0%
64 Austin 2,426,592 5 16.8% 31.9% 9.8% 15.8%
65 South Dakota 907,428 66 16.7% 36.3% 10.2% 16.3%
66 Minnesota 1,999,896 73 16.6% 37.4% 9.4% 17.1%
67 Green Bay -- Titletown 331,145 3 16.5% 41.2% 9.3% 16.5%
68 Philadelphia 2,050,212 6 16.4% 31.8% 9.8% 16.7%
69 Upstate New York 7,009,118 52 16.3% 33.7% 9.1% 17.2%
70 Portland — the Silicon Forest 529,361 2 16.2% 34.9% 8.4% 19.0%
71 Des Moines 693,166 5 16.0% 36.3% 9.3% 16.9%
72 Ames 100,466 1 15.9% 35.0% 9.8% 16.1%
73 North Dakota 784,841 53 15.9% 37.4% 9.1% 14.7%
74 Nebraska 1,978,707 93 15.6% 38.1% 9.5% 14.8%
75 the Research Triangle 2,336,314 10 15.6% 32.1% 9.8% 15.8%
76 the Cedar Rapids-Iowa City Corridor 455,824 5 15.5% 35.3% 9.6% 16.7%
77 the DMV (DC, Maryland, Virginia) 6,259,117 22 15.3% 30.6% 10.2% 14.1%
78 Lehigh Valley (Allentown-Bethlehem-Easton) 110,849 1 15.3% 32.3% 8.0% 16.7%
79 the Twin Cities 3,575,051 13 14.6% 31.4% 8.4% 15.3%
80 Denver 3,002,721 10 14.5% 25.2% 7.8% 15.6%
81 New England 4,953,354 7 14.4% 26.3% 8.3% 16.2%
82 Bozeman & Greater Yellowstone 184,738 7 14.4% 26.0% 7.4% 16.9%
83 Seattle 4,061,920 3 14.0% 27.3% 8.0% 15.9%
84 Madison, WI 572,674 1 13.3% 33.4% 8.1% 14.7%
85 Boulder 328,961 1 12.6% 17.4% 6.7% 15.4%
15 metros not shown above — CDC PLACES has no fair-or-poor-health reading on file, not a zero. See the Data page for source coverage.