Cities With the Longest Life Expectancy in Every State

December 19, 2016 by Steven M. Peters

Old Age Beach
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The U.S. death rate rose last year for the first time in a decade. This led to the first drop in life expectancy since 1993. The typical American in 2015 can expect to live 78.8 years, down slightly from 78.9 years in 2014. Heart disease and cancer remain the leading cause of deaths in the United States.

To highlight how life expectancy trends vary across the United States, 24/7 Wall St. listed the city in every state with the longest life expectancy at birth. Looking at all U.S. metro areas, life expectancy is highest in Naples-Immokalee-Marco Island, Florida, where life expectancy at birth is 83.5 years. In contrast, residents in Gadsden, Alabama have a life expectancy more than 10 years shorter.

Wealthier individuals tend to be healthier, and poorer individuals less healthy. In the poorer end of the income spectrum, especially for those living in poverty, income has an outsized impact on health. Adults living in poverty are nearly five times more likely to report being in poor or fair health than more affluent adults. The cities on this list tend to have higher household incomes and a smaller share of residents living in poverty than metro areas with shorter life expectancies. Poverty rates are lower than the national level in two-thirds of the 50 cities.

Click here to see the cities with the longest life expectancy in each state.

Click here to see the cities with the shortest life expectancy in each state

Another common trend among the cities with the longest life expectancy in their state is the tendency to report healthier behaviors than among cities with shorter life expectancies. In cities with shorter life expectancies, inactivity and unhealthy eating and unhealthy eating habits contribute to higher obesity rates. As an area’s obesity rate increases, the risk of life-shortening diseases also increases. Obesity rates in the majority of cities with the longest life expectancy in their state are lower than the nationwide obesity rate.

While every city on this list has the longest life expectancy in their state, these life expectancies are not necessarily long in a national context. For example, because life expectancy is so low in Alabama, even in Daphne-Fairhope-Foley — the metro area with the longest life expectancy in the state — residents are expected to live shorter lives than the typical American.

To determine the metropolitan areas in each state where people live the longest, 24/7 Wall St. reviewed 2013 county-level life expectancy at birth figures provided by the Institute for Health Metrics and Evaluation (IHME), a global research center affiliated with the University of Washington. The data came from the report, “United States Life Expectancy Estimates by County 1985-2013.” Using death records data from the National Center for Health Statistics, researchers applied a mixed effects Poisson statistical model and Gaussian Process Regression to estimate age-specific mortality rates for U.S. counties from 1985 to 2013.

To obtain metro area life expectancy estimates, we mapped the counties to their corresponding metro areas and calculated the average life expectancy by sex across all counties in a given metro area. County estimates were weighted by 2013 5-year population figures from the American Community Survey (ACS). To ensure 2008 and 2013 life expectancy estimates were comparable, both estimates were weighted by populations in 2013.

Metro-level median household income came from the U.S. Census Bureau’s 2015 American Community Survey. Obesity rates came from County Health Rankings & Roadmaps program, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.

These are the metro areas in each state where people live the longest.

Daphne-Fairhope-Foley, Alabama
Source: Thinkstock

1. Alabama
> Metro area: Daphne-Fairhope-Foley
> Life expectancy: 78.2 yrs.
> Obesity rate: 26.7%
> Median household income: $52,003

House, cabin, Aurora, night sky at alaska, fairbanks
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2. Alaska
> Metro area: Fairbanks
> Life expectancy: 79.3 yrs.
> Obesity rate: 28.6%
> Median household income: $72,975

Yuma Arizona, USA - December 26, 2015: Giant Saguaro Cactus in the Kofa National Wildlife Refuge. Yuma Arizona USA.
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3. Arizona
> Metro area: Yuma
> Life expectancy: 80.3 yrs.
> Obesity rate: 30.4%
> Median household income: $40,539

Fayetteville, Arkansas suburbs
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4. Arkansas
> Metro area: Fayetteville-Springdale-Rogers
> Life expectancy: 78.4 yrs.
> Obesity rate: 28.9%
> Median household income: $50,788

San Jose-Sunnyvale-Santa Clara, California
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5. California
> Metro area: San Jose-Sunnyvale-Santa Clara
> Life expectancy: 83.3 yrs.
> Obesity rate: 19.6%
> Median household income: $101,980

Fort Collins downtown, Colorado
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6. Colorado
> Metro area: Fort Collins
> Life expectancy: 81.9 yrs.
> Obesity rate: 18.9%
> Median household income: $64,919

Cove Harbor, Stamford, Connecticut
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7. Connecticut
> Metro area: Bridgeport-Stamford-Norwalk
> Life expectancy: 82.1 yrs.
> Obesity rate: 20.8%
> Median household income: $86,414

Dover, Delaware
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8. Delaware
> Metro area: Dover
> Life expectancy: 77.6 yrs.
> Obesity rate: 33.2%
> Median household income: $56,778

late afternoon along naples florida gulf coast beach
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9. Florida
> Metro area: Naples-Immokalee-Marco Island
> Life expectancy: 83.5 yrs.
> Obesity rate: 18.8%
> Median household income: $62,126

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An amazing sunset in Gainesville, Georgia.
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10. Georgia
> Metro area: Gainesville
> Life expectancy: 78.9 yrs.
> Obesity rate: 25.7%
> Median household income: $55,009

Rainbow over Urban Honolulu, Hawaii
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11. Hawaii
> Metro area: Urban Honolulu
> Life expectancy: 81.3 yrs.
> Obesity rate: 21.9%
> Median household income: $77,273

Hot air balloons over Boise City, Idaho
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12. Idaho
> Metro area: Boise City
> Life expectancy: 80.0 yrs.
> Obesity rate: 26.8%
> Median household income: $51,925

Champaign-Urbana, Illinois
Source: Thinkstock

13. Illinois
> Metro area: Champaign-Urbana
> Life expectancy: 80.0 yrs.
> Obesity rate: 27.1%
> Median household income: $51,600

bloomington-indiana
Source: Wikimedia Commons

14. Indiana
> Metro area: Bloomington
> Life expectancy: 79.2 yrs.
> Obesity rate: 22.5%
> Median household income: $44,376

ames-iowa
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15. Iowa
> Metro area: Ames
> Life expectancy: 82.0 yrs.
> Obesity rate: 25.6%
> Median household income: $50,811

Lawrence, Kansas
Source: Wikimedia Commons

16. Kansas
> Metro area: Lawrence
> Life expectancy: 80.4 yrs.
> Obesity rate: 23.3%
> Median household income: $52,964

Lexington, Kentucky
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17. Kentucky
> Metro area: Lexington-Fayette
> Life expectancy: 78.3 yrs.
> Obesity rate: 28.2%
> Median household income: $53,117

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French Quarter, downtown New Orleans, Louisiana
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18. Louisiana
> Metro area: New Orleans-Metairie
> Life expectancy: 76.7 yrs.
> Obesity rate: 31.9%
> Median household income: $48,343

Portland Lighthouse, Maine
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19. Maine
> Metro area: Portland-South Portland
> Life expectancy: 80.2 yrs.
> Obesity rate: 24.1%
> Median household income: $62,074

California-Lexington Park, Maryland
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20. Maryland
> Metro area: California-Lexington Park
> Life expectancy: 78.9 yrs.
> Obesity rate: 30.3%
> Median household income: $85,163

Harvard, Boston, Massachusetts
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21. Massachusetts
> Metro area: Boston-Cambridge-Newton
> Life expectancy: 81.1 yrs.
> Obesity rate: 22.9%
> Median household income: $78,800

Ann Arbor, Michigan
Source: Wikimedia Commons

22. Michigan
> Metro area: Ann Arbor
> Life expectancy: 81.1 yrs.
> Obesity rate: 23.3%
> Median household income: $61,977

Rochester, Minnesota
Source: Wikimedia Commons

23. Minnesota
> Metro area: Rochester
> Life expectancy: 81.9 yrs.
> Obesity rate: 25.1%
> Median household income: $65,627

Jackson, ,Mississippi
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24. Mississippi
> Metro area: Jackson
> Life expectancy: 75.9 yrs.
> Obesity rate: 33.8%
> Median household income: $46,757

Columns in front of University of Missouri building
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25. Missouri
> Metro area: Columbia
> Life expectancy: 79.4 yrs.
> Obesity rate: 27.3%
> Median household income: $50,520

Missoula, Montana
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26. Montana
> Metro area: Missoula
> Life expectancy: 79.5 yrs.
> Obesity rate: 21.4%
> Median household income: $42,815

Lincoln, Nebraska
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27. Nebraska
> Metro area: Lincoln
> Life expectancy: 80.3 yrs.
> Obesity rate: 26.3%
> Median household income: $54,002

Las Vegas, Nevada skyline
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28. Nevada
> Metro area: Las Vegas-Henderson-Paradise
> Life expectancy: 78.5 yrs.
> Obesity rate: 25.8%
> Median household income: $51,552

Manchester, New Hampshire
Source: Wikimedia Commons

29. New Hampshire
> Metro area: Manchester-Nashua
> Life expectancy: 80.1 yrs.
> Obesity rate: 27.3%
> Median household income: $74,323

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Trenton, New Jersey
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30. New Jersey
> Metro area: Trenton
> Life expectancy: 79.7 yrs.
> Obesity rate: 24.3%
> Median household income: $72,417

Santa Fe, New Mexico
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31. New Mexico
> Metro area: Santa Fe
> Life expectancy: 80.1 yrs.
> Obesity rate: 13.8%
> Median household income: $55,676

Snow in New York City - fantastic image 2000
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32. New York
> Metro area: New York-Newark-Jersey City
> Life expectancy: 81.1 yrs.
> Obesity rate: 22.8%
> Median household income: $68,743

Raleigh (Wake County), North Carolina
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33. North Carolina
> Metro area: Raleigh
> Life expectancy: 80.5 yrs.
> Obesity rate: 26.8%
> Median household income: $65,778

Fargo, North Dakota
Source: Wikimedia Commons

34. North Dakota
> Metro area: Fargo
> Life expectancy: 80.3 yrs.
> Obesity rate: 27.5%
> Median household income: $56,051

Canton, Ohio
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35. Ohio
> Metro area: Canton-Massillon
> Life expectancy: 78.1 yrs.
> Obesity rate: 31.1%
> Median household income: $49,313

Oklahoma City Sunrise
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36. Oklahoma
> Metro area: Oklahoma City
> Life expectancy: 76.4 yrs.
> Obesity rate: 30.8%
> Median household income: $52,221

Corvallis, Oregon
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37. Oregon
> Metro area: Corvallis
> Life expectancy: 82.1 yrs.
> Obesity rate: 19.7%
> Median household income: $52,852

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State College, Pennsylvania
Source: Wikimedia Commons

38. Pennsylvania
> Metro area: State College
> Life expectancy: 81.8 yrs.
> Obesity rate: 25.3%
> Median household income: $56,337

Providence, Rhode Island 4
Source: Thinkstock

39. Rhode Island
> Metro area: Providence-Warwick
> Life expectancy: 79.5 yrs.
> Obesity rate: 27.0%
> Median household income: $58,965

Hilton Head Island, South Carolina, Beaufort County
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40. South Carolina
> Metro area: Hilton Head Island-Bluffton-Beaufort
> Life expectancy: 80.7 yrs.
> Obesity rate: 24.6%
> Median household income: $55,923

Sioux Falls at dawn, South Dakota
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41. South Dakota
> Metro area: Sioux Falls
> Life expectancy: 80.1 yrs.
> Obesity rate: 28.1%
> Median household income: $59,844

Nashville-Davidson-Murfreesboro-Franklin, Tennessee
Source: Thinkstock

42. Tennessee
> Metro area: Nashville-Davidson–Murfreesboro–Franklin
> Life expectancy: 77.8 yrs.
> Obesity rate: 32.0%
> Median household income: $57,985

Austin Texas Neighborhood Suburbia Suburb Sunset
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43. Texas
> Metro area: Austin-Round Rock
> Life expectancy: 80.9 yrs.
> Obesity rate: 23.3%
> Median household income: $67,195

Logan, Utah
Source: Wikimedia Commons

44. Utah
> Metro area: Logan
> Life expectancy: 81.5 yrs.
> Obesity rate: 23.0%
> Median household income: $51,555

Burlington (Chittenden County), Vermont
Source: Thinkstock

45. Vermont
> Metro area: Burlington-South Burlington
> Life expectancy: 80.5 yrs.
> Obesity rate: 22.7%
> Median household income: $66,807

University of Virginia, Charlottesville, Virginia
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46. Virginia
> Metro area: Charlottesville
> Life expectancy: 80.5 yrs.
> Obesity rate: 25.8%
> Median household income: $63,918

View of Seattle from Space Needle
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47. Washington
> Metro area: Seattle-Tacoma-Bellevue
> Life expectancy: 80.8 yrs.
> Obesity rate: 25.5%
> Median household income: $75,331

Morgantown, West Virginia
Source: Wikimedia Commons

48. West Virginia
> Metro area: Morgantown
> Life expectancy: 78.4 yrs.
> Obesity rate: 29.5%
> Median household income: $45,941

Madison, Wisconsin
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49. Wisconsin
> Metro area: Madison
> Life expectancy: 80.8 yrs.
> Obesity rate: 23.9%
> Median household income: $64,174

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Cheyenne, Wyoming
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50. Wyoming
> Metro area: Cheyenne
> Life expectancy: 79.0 yrs.
> Obesity rate: 28.2%
> Median household income: $60,599