County Rankings

Where America Stands on Chronic Disease, Behavioral Health, and Prevention

Forty county-level health rankings drawn from the CDC PLACES program — the most comprehensive county-level health-statistics dataset published by the federal government.

Each ranking is built from the CDC PLACES dataset, a federal program that models age-adjusted prevalence for chronic-disease, behavioral, prevention, disability, and social-driver measures down to the county level. The underlying responses come from the CDC Behavioral Risk Factor Surveillance System (BRFSS) — telephone interviews that the CDC pools, weights, and statistically models to produce county estimates.

These rankings are useful for comparing your county to others, spotting regional patterns, and giving local officials a defensible national benchmark. They are not useful for diagnosing individuals, projecting year-over-year trends without epidemiological context, or replacing direct disease-registry data. Confidence intervals are wider for small counties — read those rankings as broad pattern rather than precise position.

All measures are age-adjusted to the 2000 US population, so a retirement-heavy county is not confounded with a college town on raw demographics. Counties whose population is too small to support modeled estimates are excluded from individual rankings (about 1% of US counties). The data year is 2023.

Health Outcomes

Diagnosis-anchored chronic-disease prevalence. These measures count adults ever told they have the condition — they reflect both true burden and clinical access.

Health Risk Behaviors

Behavioral indicators self-reported in BRFSS. Leading-edge of chronic disease — today's smoking and inactivity rankings track tomorrow's COPD and diabetes maps.

Health Status

Subjective self-rated measures that predict mortality and utilization independent of diagnosed disease. The closest thing to a "how things are going" indicator.

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

Data: CDC PLACES 2023 release. Methodology and source documentation on the methodology page.