Special Report

The Least Healthy County In Every State

Methodology

To identify the least healthy county in every state, 24/7 Tempo reviewed county-level data from County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program. 

The rankings are based on an index 24/7 Tempo created consisting of two categories — health outcomes and health factors. The health outcomes measure includes diabetes prevalence and share of adults in poor or fair health. The health factors component includes measures linked to quality of life,  including obesity, smoking, and physical activity rates, and the share of the population without health insurance.

All data are for the most recent year available. A total of 3,142 counties and county equivalents were considered. 

In the case of ties, counties that ranked higher in behavioral measures were considered healthier. Median household income, uninsured rate, and poverty rates are five-year estimates from the U.S. Census Bureau’s 2019 American Community Survey.

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