Shelby County Health Data

Shelby County, Iowa

CDC County Health Rankings

Health Score

82/100

Excellent

Life Expectancy

78.3 yr

Uninsured Rate

6.0%

Health Statistics

Life Expectancy

78.3 yr

State avg 77.7 yr

National avg 77.5 yr

Uninsured Rate

6.0%

State avg 5.7%

National avg 9%

Primary Care Providers

51

per 100K population

National avg 82

Mental Health Providers

153

per 100K population

National avg 350

Poor / Fair Health

15.5%

State avg 15.8%

National avg 19.6%

Healthcare Access

Primary Care Physicians

25.5

per 100K residentsCDC: 51.0 per 100K

Nurse Practitioners & PAs

8.5

per 100K residents

Provider counts from CMS NPPES (National Provider Identifier Registry). Data current as of 2026.

Chronic Disease & Behavioral Health

These prevalence estimates come from the CDC PLACES program (Population-Level Analysis and Community Estimates), which combines BRFSS survey data with statistical modeling to produce county-level rates. Estimates are age-adjusted to enable fair comparisons across counties with different age distributions. Use them to spot where Shelby County differs most from state and national norms.

Most prevalent chronic conditions

MeasureShelbyState avgNational avgVs state
Obesity38.1%39.5%37.6%1.4 pts better than state
Diabetes9.3%9.8%11.2%near state average
High Blood Pressure29.8%31.1%33.5%1.3 pts better than state
Depression21.6%21.5%24.1%near state average

Health-risk behaviors

MeasureShelbyState avgNational avgVs state
Current Cigarette Smoking15.9%16.2%16.3%near state average
Binge Drinking23.2%22.5%17.8%0.7 pts worse than state
Physical Inactivity24.4%25.1%27.0%0.7 pts better than state

Preventive-care uptake

MeasureShelbyState avgNational avgVs state
Annual Routine Checkup75.1%75.1%74.9%near state average
Dental Visit (past year)66.4%65.6%57.3%0.8 pts better than state
Mammography (women 50–74)74.7%77.4%73.3%2.7 pts worse than state

Daily-life impact

MeasureShelbyState avgNational avgVs state
Frequent Mental Distress17.7%17.8%18.6%near state average
Short Sleep Duration32.1%33.7%37.3%1.6 pts better than state

These rates are part of the CDC PLACES survey. Compare Shelby County nationally on mammography (women 50–74).

Source: CDC PLACES, 2023 release · age-adjusted prevalence (%). Confidence intervals are available on individual rankings pages.

Data Story

Shelby County Health Status Rate Differentiates Local Data Profile

Health data brief for Shelby County, Iowa.

By Logan Johnson, Founder & Data EditorPublished Reviewed by Logan Johnson, Founder & Data Editor
Lead metric:Poor/fair health rate

Shelby County reports a poor or fair health rate of 15.5%, which is more favorable than the national average of 17%. While health self-reporting varies, this figure is a key indicator for the region. The county’s life expectancy stands at 78.3 years, which is higher than the Iowa average of 77.7 years and the national average of 77 years. Clinical access includes 51 primary care providers for every 100,000 residents, which is lower than the national median of 70. Additionally, the mental health provider ratio is 153 per 100,000, compared to a national median of 250. The uninsured rate for the county is 6.0%, which is slightly higher than the Iowa state average of 5.7% but remains significantly lower than the national 10% average. These data points provide an overview of the documented health status and access within the county. See the CDC County Health Rankings methodology.

Get Care in Shelby County, Iowa

Direct contact information for hospitals and community health resources serving this county. Hospital quality ratings come from CMS Care Compare — the federal program that measures hospital performance on safety, patient experience, and outcomes.

Myrtue Medical Center

ER
3/5
(712) 755-5161
1213 Garfield Avenue, Harlan, IA 51537
Critical Access HospitalsVoluntary non-profit - Other

Sources: Hospital data: CMS Care Compare. Quality ratings: Centers for Medicare & Medicaid Services. Community health center directory: HRSA. Last reviewed 2026-05-14.

Information is for general guidance only and is not medical advice. Always call ahead to confirm services, hours, and insurance accepted. In a medical emergency, dial 911.

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Frequently Asked Questions

What is the health ranking of Shelby County, IA?
Shelby County has a health score of 82/100, rated "Excellent." It ranks #43 out of 99 counties in Iowa (1 = healthiest). The score is based on CDC County Health Rankings data, combining life expectancy, uninsured rates, provider access, and behavioral health indicators.
What is the life expectancy in Shelby County?
Life expectancy in Shelby County is 78.3 years. The Iowa state average is 77.7 years, making Shelby County above the state average.
How does Shelby County health compare to the Iowa average?
Shelby County's health score of 82/100 is above the Iowa average of 78/100. Life expectancy is 78.3 years vs. the state average of 77.7 years. The uninsured rate is 6.0% vs. 5.7% statewide.
What health factors affect Shelby County?
Key health factors for Shelby County include: life expectancy (78.3 years), uninsured rate (6.0%), and primary care physician access (51:1 (population to primary care physicians)). Mental health provider access is 153:1 population-to-provider ratio. These metrics are sourced from the CDC County Health Rankings & Roadmaps program.
Is Shelby County a healthy place to live?
With a health score of 82/100 ("Excellent"), Shelby County is one of the healthier counties in Iowa. Residents have a life expectancy of 78.3 years. 6.0% of adults lack health insurance. Factors like healthcare access, environmental quality, and socioeconomic conditions all contribute to these outcomes.
Why is Shelby County healthier than the Iowa average?
Shelby County's health score of 82/100 exceeds the Iowa average of 78/100. Higher health scores often correlate with better access to healthcare providers, lower uninsured rates, higher median incomes, and environmental factors. Shelby County has better primary care access (51:1 ratio) than the state average (54:1).

Counties with Similar Health Profile

By Logan Johnson, Founder & Data EditorUpdated Reviewed by Logan Johnson, Founder & Data Editor

Data Sources

Health data sourced from the County Health Rankings & Roadmaps, a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.

Data is informational only. Not medical or health advice. Coverage varies by county and reporting year.