Large gaps in health persist not just across the country, but within every state. County Health Rankings & Roadmaps, in its 2019 annual report released March 19, demonstrates how health outcomes such as life span and behaviors such as smoking, obesity, and exercise vary widely across the country.
Positive health outcomes are often the result of healthy behaviors. Maintaining a healthy weight through a balanced diet and regular exercise, abstaining from smoking and excessive drinking, and regular doctor visits — while by no means a guarantee — will greatly increase one’s chances for a long and healthy life.
These and other such features of well-being are closely linked to indirect faccantors. Proximity to quality schools and good job opportunities provide education and the financial means that often contribute to better health by allowing people to make better choices and providing the means to live a healthy lifestyle. Eating a healthy diet is much easier for people living in communities with access to grocery stores with affordable nutritious food. And access to parks and other places of exercise means staying active can be made a part of everyday routines.
Click here to see the healthiest county in every state.
To identify the healthiest county in each state, 24/7 Wall St. reviewed county-level health data from County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program. In almost every state, even in those characterized by unhealthy habits and poor health outcomes, there is at least one county where residents are much more likely to be in good health than is typical nationwide.
Source: SeanPavonePhoto / Getty Images
1. Alabama: Shelby
> Smoking rate: 16.9% (state: 21.5%)
> Obesity rate: 32.9% (state: 35.1%)
> Adults who do not exercise regularly: 22.3% (state: 28.2%)
> Median household income: $74,063
See all stories featuring: Alabama
[in-text-ad]
Source: volvob12b / Flickr
2. Alaska: Juneau
> Smoking rate: 18.0% (state: 19.0%)
> Obesity rate: 28.8% (state: 30.4%)
> Adults who do not exercise regularly: 14.7% (state: 18.8%)
> Median household income: $90,749
See all stories featuring: Alaska
Source: BOB WESTON / Getty Images
3. Arizona: Greenlee
> Smoking rate: 15.3% (state: 14.7%)
> Obesity rate: 29.7% (state: 27.2%)
> Adults who do not exercise regularly: 21.1% (state: 20.2%)
> Median household income: $56,298
See all stories featuring: Arizona
Source: Marlo B. Krueger / Wikimedia Commons
4. Arkansas: Benton
> Smoking rate: 17.6% (state: 23.6%)
> Obesity rate: 31.9% (state: 35.2%)
> Adults who do not exercise regularly: 25.0% (state: 31.2%)
> Median household income: $61,271
See all stories featuring: Arkansas
[in-text-ad-2]
Source: Eddie Hernandez Photography / Getty Images
5. California: Marin
> Smoking rate: 9.7% (state: 11.0%)
> Obesity rate: 18.2% (state: 22.7%)
> Adults who do not exercise regularly: 12.0% (state: 17.4%)
> Median household income: $104,703
See all stories featuring: California
Source: Jeffrey Beall / Wikimedia Commons
6. Colorado: Douglas
> Smoking rate: 9.5% (state: 15.6%)
> Obesity rate: 18.6% (state: 21.0%)
> Adults who do not exercise regularly: 9.6% (state: 14.0%)
> Median household income: $111,154
See all stories featuring: Colorado
[in-text-ad]
Source: Jerry Dougherty / Wikimedia Commons
7. Connecticut: Tolland
> Smoking rate: 12.3% (state: 13.3%)
> Obesity rate: 24.4% (state: 25.5%)
> Adults who do not exercise regularly: 18.0% (state: 19.3%)
> Median household income: $81,312
See all stories featuring: Connecticut
24/7 Wall St.
Source: aimintang / Getty Images
8. Delaware: New Castle
> Smoking rate: 16.8% (state: 17.7%)
> Obesity rate: 28.8% (state: 30.6%)
> Adults who do not exercise regularly: 23.2% (state: 25.4%)
> Median household income: $68,336
See all stories featuring: Delaware
Source: pom-angers / Flickr
9. Florida: St. Johns
> Smoking rate: 13.4% (state: 15.5%)
> Obesity rate: 22.8% (state: 26.5%)
> Adults who do not exercise regularly: 19.5% (state: 24.7%)
> Median household income: $73,640
See all stories featuring: Florida
[in-text-ad-2]
Source: John Trainor / Flickr
10. Georgia: Oconee
> Smoking rate: 14.4% (state: 17.9%)
> Obesity rate: 28.2% (state: 30.3%)
> Adults who do not exercise regularly: 23.4% (state: 24.3%)
> Median household income: $77,388
See all stories featuring: Georgia
Source: Art Wager / Getty Images
11. Hawaii: Honolulu
> Smoking rate: 11.2% (state: 13.1%)
> Obesity rate: 23.0% (state: 23.1%)
> Adults who do not exercise regularly: 20.2% (state: 19.8%)
> Median household income: $80,078
See all stories featuring: Hawaii
[in-text-ad]
Source: knowlesgallery / Getty Images
12. Idaho: Ada
> Smoking rate: 11.8% (state: 14.5%)
> Obesity rate: 24.9% (state: 28.3%)
> Adults who do not exercise regularly: 14.4% (state: 19.0%)
> Median household income: $60,151
See all stories featuring: Idaho
Source: benkrut / Getty Images
13. Illinois: DuPage
> Smoking rate: 12.5% (state: 15.8%)
> Obesity rate: 25.2% (state: 28.7%)
> Adults who do not exercise regularly: 17.4% (state: 21.5%)
> Median household income: $84,442
See all stories featuring: Illinois
Source: mdgmorris / Getty Images
14. Indiana: Hamilton
> Smoking rate: 12.8% (state: 21.1%)
> Obesity rate: 26.1% (state: 32.8%)
> Adults who do not exercise regularly: 14.0% (state: 25.1%)
> Median household income: $90,582
See all stories featuring: Indiana
[in-text-ad-2]
Source: Stephen Matthew Milligan / Wikimedia Commons
15. Iowa: Dallas
> Smoking rate: 12.8% (state: 16.7%)
> Obesity rate: 27.7% (state: 32.2%)
> Adults who do not exercise regularly: 19.3% (state: 23.0%)
> Median household income: $82,719
See all stories featuring: Iowa
Source: kansasscanner / Flickr
16. Kansas: Johnson
> Smoking rate: 12.0% (state: 17.2%)
> Obesity rate: 27.2% (state: 33.2%)
> Adults who do not exercise regularly: 16.1% (state: 23.5%)
> Median household income: $81,121
See all stories featuring: Kansas
[in-text-ad]
Source: bill_alden / Flickr
17. Kentucky: Oldham
> Smoking rate: 15.9% (state: 24.5%)
> Obesity rate: 24.7% (state: 34.2%)
> Adults who do not exercise regularly: 20.8% (state: 27.4%)
> Median household income: $92,237
See all stories featuring: Kentucky
24/7 Wall St.
Source: formulanone / Flickr
18. Louisiana: Cameron
> Smoking rate: 16.4% (state: 22.8%)
> Obesity rate: 36.0% (state: 35.3%)
> Adults who do not exercise regularly: 32.3% (state: 28.5%)
> Median household income: $60,194
See all stories featuring: Louisiana
Source: nhoulihan / Flickr
19. Maine: Cumberland
> Smoking rate: 12.8% (state: 19.8%)
> Obesity rate: 24.3% (state: 29.4%)
> Adults who do not exercise regularly: 15.3% (state: 20.2%)
> Median household income: $65,702
See all stories featuring: Maine
[in-text-ad-2]
Source: AppalachianViews / Getty Images
20. Maryland: Howard
> Smoking rate: 9.7% (state: 13.7%)
> Obesity rate: 24.4% (state: 30.3%)
> Adults who do not exercise regularly: 15.6% (state: 21.0%)
> Median household income: $115,576
See all stories featuring: Maryland
Source: RomanBabakin / Getty Images
21. Massachusetts: Middlesex
> Smoking rate: 11.3% (state: 13.6%)
> Obesity rate: 22.5% (state: 24.4%)
> Adults who do not exercise regularly: 18.0% (state: 19.9%)
> Median household income: $92,878
See all stories featuring: Massachusetts
[in-text-ad]
Source: doomonu / Flickr
22. Michigan: Livingston
> Smoking rate: 15.3% (state: 20.4%)
> Obesity rate: 26.8% (state: 31.7%)
> Adults who do not exercise regularly: 18.3% (state: 22.3%)
> Median household income: $78,430
See all stories featuring: Michigan
Source: AlexiusHoratius / Wikimedia Commons
23. Minnesota: Carver
> Smoking rate: 11.6% (state: 15.2%)
> Obesity rate: 23.5% (state: 27.6%)
> Adults who do not exercise regularly: 14.3% (state: 18.5%)
> Median household income: $93,095
See all stories featuring: Minnesota
Source: shawnzlea / Flickr
24. Mississippi: Madison
> Smoking rate: 15.1% (state: 22.7%)
> Obesity rate: 30.8% (state: 36.5%)
> Adults who do not exercise regularly: 23.6% (state: 31.3%)
> Median household income: $68,600
See all stories featuring: Mississippi
[in-text-ad-2]
Source: mce128 / Getty Images
25. Missouri: St. Charles
> Smoking rate: 16.8% (state: 22.1%)
> Obesity rate: 28.3% (state: 32.2%)
> Adults who do not exercise regularly: 23.7% (state: 25.0%)
> Median household income: $78,380
See all stories featuring: Missouri
Source: mtnmichelle / Getty Images
26. Montana: Gallatin
> Smoking rate: 14.6% (state: 18.5%)
> Obesity rate: 16.1% (state: 25.4%)
> Adults who do not exercise regularly: 11.6% (state: 19.6%)
> Median household income: $59,397
See all stories featuring: Montana
[in-text-ad]
Source: afiler / Flickr
27. Nebraska: Cedar
> Smoking rate: 12.6% (state: 17.0%)
> Obesity rate: 33.7% (state: 31.2%)
> Adults who do not exercise regularly: 25.8% (state: 22.0%)
> Median household income: $57,208
See all stories featuring: Nebraska
24/7 Wall St.
Source: johnrandallalves / Getty Images
28. Nevada: Douglas
> Smoking rate: 13.6% (state: 16.5%)
> Obesity rate: 25.3% (state: 26.5%)
> Adults who do not exercise regularly: 20.0% (state: 21.7%)
> Median household income: $61,176
See all stories featuring: Nevada
Source: russnelson / Flickr
29. New Hampshire: Grafton
> Smoking rate: 14.4% (state: 18.0%)
> Obesity rate: 23.2% (state: 28.0%)
> Adults who do not exercise regularly: 19.4% (state: 20.0%)
> Median household income: $61,036
See all stories featuring: New Hampshire
[in-text-ad-2]
Source: ThomasTakacs / Getty Images
30. New Jersey: Hunterdon
> Smoking rate: 13.1% (state: 14.0%)
> Obesity rate: 20.8% (state: 26.2%)
> Adults who do not exercise regularly: 17.9% (state: 23.6%)
> Median household income: $110,969
See all stories featuring: New Jersey
Source: Dean_Fikar / Getty Images
31. New Mexico: Los Alamos
> Smoking rate: 10.0% (state: 16.6%)
> Obesity rate: 21.3% (state: 25.6%)
> Adults who do not exercise regularly: 12.6% (state: 18.2%)
> Median household income: $110,190
See all stories featuring: New Mexico
[in-text-ad]
Source: alarico / Getty Images
32. New York: Nassau
> Smoking rate: 10.7% (state: 14.2%)
> Obesity rate: 23.2% (state: 25.7%)
> Adults who do not exercise regularly: 22.8% (state: 24.5%)
> Median household income: $105,744
See all stories featuring: New York
Source: texasbackroads / Flickr
33. North Carolina: Orange
> Smoking rate: 14.2% (state: 17.9%)
> Obesity rate: 24.8% (state: 30.2%)
> Adults who do not exercise regularly: 19.5% (state: 23.0%)
> Median household income: $65,522
See all stories featuring: North Carolina
Source: Andrew Filer from Seattle (ex-Minneapolis) / Wikimedia Commons
34. North Dakota: Wells
> Smoking rate: 14.5% (state: 19.8%)
> Obesity rate: 31.5% (state: 32.2%)
> Adults who do not exercise regularly: 28.1% (state: 21.6%)
> Median household income: $54,464
See all stories featuring: North Dakota
[in-text-ad-2]
Source: tijsb / Flickr
35. Ohio: Delaware
> Smoking rate: 13.6% (state: 22.5%)
> Obesity rate: 26.8% (state: 31.8%)
> Adults who do not exercise regularly: 17.4% (state: 24.6%)
> Median household income: $100,229
See all stories featuring: Ohio
Source: BOB WESTON / Getty Images
36. Oklahoma: Canadian
> Smoking rate: 14.4% (state: 19.6%)
> Obesity rate: 33.8% (state: 33.3%)
> Adults who do not exercise regularly: 26.6% (state: 28.4%)
> Median household income: $69,220
See all stories featuring: Oklahoma
[in-text-ad]
Source: Flutter_97321 / Getty Images
37. Oregon: Benton
> Smoking rate: 14.0% (state: 16.2%)
> Obesity rate: 26.5% (state: 28.3%)
> Adults who do not exercise regularly: 11.5% (state: 15.2%)
> Median household income: $54,682
See all stories featuring: Oregon
24/7 Wall St.
Source: BasSlabbers / Getty Images
38. Pennsylvania: Montgomery
> Smoking rate: 13.4% (state: 18.0%)
> Obesity rate: 25.8% (state: 29.9%)
> Adults who do not exercise regularly: 17.1% (state: 22.4%)
> Median household income: $84,791
See all stories featuring: Pennsylvania
Source: Kenneth C. Zirkel / Wikimedia Commons
39. Rhode Island: Bristol
> Smoking rate: 12.5% (state: 14.4%)
> Obesity rate: 23.5% (state: 27.0%)
> Adults who do not exercise regularly: 18.6% (state: 23.4%)
> Median household income: $74,630
See all stories featuring: Rhode Island
[in-text-ad-2]
Source: kenlund / Flickr
40. South Carolina: Beaufort
> Smoking rate: 12.5% (state: 20.0%)
> Obesity rate: 23.1% (state: 32.4%)
> Adults who do not exercise regularly: 16.1% (state: 24.7%)
> Median household income: $60,603
See all stories featuring: South Carolina
Source: BOB WESTON / Getty Images
41. South Dakota: Lincoln
> Smoking rate: 13.7% (state: 18.1%)
> Obesity rate: 29.6% (state: 31.1%)
> Adults who do not exercise regularly: 18.4% (state: 19.9%)
> Median household income: $81,849
See all stories featuring: South Dakota
[in-text-ad]
Source: mavdesign / Getty Images
42. Tennessee: Williamson
> Smoking rate: 15.2% (state: 22.1%)
> Obesity rate: 25.2% (state: 33.0%)
> Adults who do not exercise regularly: 19.7% (state: 26.7%)
> Median household income: $103,543
See all stories featuring: Tennessee
Source: 33919141@N02 / Flickr
43. Texas: Collin
> Smoking rate: 12.1% (state: 14.3%)
> Obesity rate: 26.9% (state: 29.0%)
> Adults who do not exercise regularly: 18.9% (state: 22.8%)
> Median household income: $90,124
See all stories featuring: Texas
Source: BOB WESTON / Getty Images
44. Utah: Morgan
> Smoking rate: 8.5% (state: 8.8%)
> Obesity rate: 21.0% (state: 25.9%)
> Adults who do not exercise regularly: 13.2% (state: 16.1%)
> Median household income: $86,071
See all stories featuring: Utah
[in-text-ad-2]
Source: dougtone / Flickr
45. Vermont: Addison
> Smoking rate: 13.3% (state: 17.0%)
> Obesity rate: 24.2% (state: 25.5%)
> Adults who do not exercise regularly: 18.4% (state: 18.6%)
> Median household income: $61,875
See all stories featuring: Vermont
Source: traveler1116 / Getty Images
46. Virginia: Arlington
> Smoking rate: 12.3% (state: 15.3%)
> Obesity rate: 19.6% (state: 28.8%)
> Adults who do not exercise regularly: 15.1% (state: 21.6%)
> Median household income: $112,138
See all stories featuring: Virginia
[in-text-ad]
Source: MarkHatfield / Getty Images
47. Washington: King
> Smoking rate: 9.4% (state: 13.9%)
> Obesity rate: 22.3% (state: 27.6%)
> Adults who do not exercise regularly: 13.0% (state: 16.4%)
> Median household income: $83,571
See all stories featuring: Washington
24/7 Wall St.
Source: Famartin / Wikimedia Commons
48. West Virginia: Jefferson
> Smoking rate: 18.8% (state: 24.8%)
> Obesity rate: 34.5% (state: 36.3%)
> Adults who do not exercise regularly: 21.9% (state: 27.8%)
> Median household income: $72,526
See all stories featuring: West Virginia
Source: 7776581@N04 / Flickr
49. Wisconsin: Ozaukee
> Smoking rate: 12.4% (state: 17.1%)
> Obesity rate: 23.9% (state: 31.1%)
> Adults who do not exercise regularly: 15.8% (state: 19.5%)
> Median household income: $80,526
See all stories featuring: Wisconsin
[in-text-ad-2]
Source: 23155134@N06 / Flickr
50. Wyoming: Teton
> Smoking rate: 14.1% (state: 18.9%)
> Obesity rate: 13.6% (state: 28.5%)
> Adults who do not exercise regularly: 12.0% (state: 23.1%)
> Median household income: $80,049
See all stories featuring: Wyoming
Essential Tips for Investing: Sponsored
A financial advisor can help you understand the advantages and disadvantages of investment properties. Finding a qualified financial advisor doesn’t have to be hard. SmartAsset’s free tool matches you with up to three financial advisors who serve your area, and you can interview your advisor matches at no cost to decide which one is right for you. If you’re ready to find an advisor who can help you achieve your financial goals, get started now.
Investing in real estate can diversify your portfolio. But expanding your horizons may add additional costs. If you’re an investor looking to minimize expenses, consider checking out online brokerages. They often offer low investment fees, helping you maximize your profit.
Thank you for reading! Have some feedback for us?
Contact the 24/7 Wall St. editorial team.
Editors' Picks
