Special Report

The Least Healthy County In Every State


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.

Sponsored: Find a Qualified Financial Advisor

Finding a qualified financial advisor doesn’t have to be hard. SmartAsset’s free tool matches you with up to 3 fiduciary financial advisors in your area in 5 minutes. Each advisor has been vetted by SmartAsset and is held to a fiduciary standard to act in your best interests. If you’re ready to be matched with local advisors that can help you achieve your financial goals, get started now.