Health-Related Social Needs
Housing Insecurity by County — US Rankings
CDC PLACES 2023 · Age-adjusted prevalence · All 3,144 US counties
Housing insecurity in BRFSS captures adults who reported being worried about having stable housing, being behind on rent, or experiencing an eviction event in the past 12 months. PLACES models county-level prevalence. The measure tracks housing-cost burden and local eviction-court activity more than homelessness specifically — the residential-homeless population is largely missed by phone-survey methodology and is better counted by HUD point-in-time data.
How this ranking is built
Source: CDC PLACES 2023 release. Methodology: BRFSS survey responses pooled across years, fitted with a small-area statistical model, age-adjusted to the 2000 US standard population. Confidence intervals (95%) are shown for each county — wider intervals indicate more uncertainty in the modeled estimate, typically driven by smaller populations.
Lowest Housing Insecurity Rates — Top 100 Counties
Counties with the lowest reported housing insecurity prevalence — these counties show the most favorable position on this measure.
Best 100 counties for Housing Insecurity.
Highest Housing Insecurity Rates — Bottom 100 CountiesCounties with the highest reported housing insecurity prevalence.
Worst 100 counties for Housing Insecurity.
What this ranking suggests
Housing insecurity is the social driver that shows up most strongly in pediatric and chronic-disease outcomes downstream — repeated moves, utility shutoffs, and housing-cost burden all carry into medication adherence and emergency-department use. Pair this ranking with the SHUTUTILITY ranking for a fuller picture.
Methodology notes & limitations
Estimates are statistical model outputs, not direct measurements. Small counties have wider confidence intervals; treat narrow rank differences in those rows as within-noise. Counties where the underlying population is too small to support modeling are suppressed entirely (about 1% of US counties). All measures are age-adjusted to the 2000 US standard population. The PLACES dataset uses BRFSS self-reported data — self-report introduces known direction-of-bias in some measures (BMI is under-reported; binge drinking is under-reported), but the bias is roughly uniform across counties so ranking comparability is preserved. See the methodology page for full data-pipeline documentation.
Data source: CDC PLACES 2023 release. Measure ID: HOUSINSECU.