Health-Related Social Needs
SNAP Enrollment by County — US Rankings
CDC PLACES 2023 · Age-adjusted prevalence · All 3,144 US counties
PLACES reports the share of adults who report receiving SNAP (food stamps) in the past 12 months. The measure tracks program reach more than program need — a county can have high food insecurity and low SNAP uptake (under-enrollment) or low food insecurity and high SNAP uptake (program working as designed). The two should be read together. USDA Food and Nutrition Service publishes administrative SNAP data, which is more authoritative for absolute counts but does not match BRFSS methodology.
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 Receiving Food Stamps / SNAP Rates — Top 100 Counties
Counties with the lowest reported receiving food stamps / snap prevalence — these counties show the most favorable position on this measure.
Best 100 counties for Receiving Food Stamps / SNAP.
Highest Receiving Food Stamps / SNAP Rates — Bottom 100 CountiesCounties with the highest reported receiving food stamps / snap prevalence.
Worst 100 counties for Receiving Food Stamps / SNAP.
What this ranking suggests
SNAP enrollment is one of the few PLACES measures where "high" is neither inherently good nor bad — it is a use-rate, not an outcome. The signal lives in the gap between this ranking and the food-insecurity ranking. The two together describe whether a county's safety net is reaching the residents who need it.
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: FOODSTAMP.