Fair or poor self-rated health status among adults

US estimate 19.2% (95% interval 18.9–19.5), age-adjusted 18.3% (18.0–18.6). Published in the 2022, 2023, 2024, 2025 releases.

Population: All Adults
Case definition period: Current
Prevalence (crude and age-adjusted)

21.3%median county, 2025middle half 18.5%–25.2%

2,956counties with a 2025 estimaterange 11.0%–42.7%

Fair or poor self-rated health status among adults: CDC's PLACES 2025 release estimates 19.2% nationally (95% confidence interval 18.9–19.5%), or 18.3% age-adjusted, from 2023 BRFSS responses.

Across the 2,956 counties with a 2025 estimate, the median county is 21.3% and the middle half of counties fall between 18.5% and 25.2%; the full range runs from 11.0% to 42.7%. Population-weighted state figures computed by this site (no interval) range from 13.1% (District of Columbia) to 25.4% (West Virginia).

CDC advises that areas may be compared on individual measures but that the estimates should not be used to rank overall health; the county lists below are ordered by point estimate and every row carries its 95% confidence interval.

CDC's definition

A multi-level regression and post-stratification approach was applied to BRFSS and ACS data to compute a detailed probability among adults who report their general health status as “fair” or “poor”. The probability was then applied to the detailed population estimates at the appropriate geographic level to generate the prevalence. The 95% confidence interval was derived using Monte Carlo simulation.

CDC's notes: This measure is based on self-assessment only and does not include an objective health component.

Quoted from CDC's PLACES measure definitions (cdc.gov/places/measure-definitions). BRFSS is the Behavioral Risk Factor Surveillance System, the telephone survey the model is trained on.

National distribution across counties

11.0%26.9%42.7%

Crude county point estimates in the 2025 release, 24 equal bins. Deciles: 10th 16.5%, 25th 18.5%, median 21.3%, 75th 25.2%, 90th 28.6%. Counties without a 2025 estimate (Kentucky, Pennsylvania and the states without the social-needs module) are excluded here.

By state

Crude prevalence is the estimated share of all adults. Age-adjusted prevalence is standardised to the 2000 US standard population so that areas with different age structures can be compared. CDC: "Age-adjusted estimates are only available at the county and place-level."

State	State figure, crude (site aggregate)	Lowest county	Highest county	Counties
West Virginia	25.4%	18.4%	37.0%	55
Arkansas	24.4%	19.0%	36.9%	75
Louisiana	24.4%	20.1%	39.9%	64
Mississippi	24.4%	17.6%	37.9%	82
New Mexico	24.0%	11.7%	35.7%	33
Alabama	22.8%	16.1%	39.4%	67
Kentucky (2024 release)	22.4%	13.9%	38.0%	120*
Tennessee	22.4%	14.2%	36.4%	95
Nevada	22.3%	19.0%	30.9%	17
California	22.1%	16.1%	32.6%	58
Texas	21.8%	14.8%	42.7%	253
Oklahoma	21.2%	16.8%	30.6%	77
Indiana	20.6%	12.8%	28.8%	92
Missouri	20.5%	15.2%	32.5%	115
Florida	20.3%	14.6%	31.3%	67
Georgia	20.3%	13.3%	35.2%	159
South Carolina	20.1%	15.2%	32.0%	46
Arizona	19.5%	18.0%	31.9%	15
Michigan	19.4%	13.4%	28.0%	83
Ohio	19.4%	12.0%	27.2%	88
North Carolina	19.0%	13.7%	31.4%	100
Oregon	19.0%	16.1%	27.5%	36
Delaware	18.8%	17.5%	21.1%	3
Maine	18.7%	14.5%	24.1%	16
Pennsylvania (2024 release)	18.7%	13.0%	24.8%	67*
Alaska	18.6%	16.0%	37.8%	30
Illinois	18.6%	14.2%	28.8%	102
Hawaii	18.4%	17.9%	28.7%	5
Montana	18.3%	13.0%	31.3%	56
Wyoming	18.3%	12.3%	22.0%	23
New York	18.1%	13.3%	29.9%	62
Virginia	18.1%	11.0%	29.8%	133
Kansas	18.0%	12.3%	26.9%	105
Maryland	17.9%	12.4%	24.1%	24
Iowa	17.8%	13.1%	23.8%	99
Idaho	17.8%	15.0%	25.7%	44
Wisconsin	17.8%	13.2%	27.2%	72
Rhode Island	17.3%	13.1%	19.1%	5
South Dakota	17.3%	12.3%	39.7%	66
New Jersey	17.1%	12.7%	24.9%	21
Massachusetts	16.3%	13.1%	22.8%	14
Washington	16.3%	12.5%	27.8%	39
Connecticut	16.2%	13.5%	18.1%	9
North Dakota	16.1%	13.6%	36.8%	53
Nebraska	16.1%	13.3%	22.6%	93
Minnesota	16.0%	12.6%	28.5%	87
Colorado	15.5%	11.1%	28.7%	64
Utah	15.5%	12.5%	26.5%	29
New Hampshire	14.5%	12.8%	20.3%	10
Vermont	14.5%	11.4%	21.7%	14
District of Columbia	13.1%	13.1%	13.1%	1

State	State figure, age-adjusted (site aggregate)	Counties
West Virginia	23.8%	55
Louisiana	23.6%	64
Mississippi	23.5%	82
Arkansas	23.4%	75
New Mexico	23.1%	33
Alabama	21.8%	67
California	21.6%	58
Texas	21.6%	253
Nevada	21.5%	17
Tennessee	21.5%	95
Kentucky (2024 release)	21.4%	120*
Oklahoma	20.6%	77
Indiana	19.9%	92
Georgia	19.8%	159
Missouri	19.6%	115
Florida	19.1%	67
South Carolina	19.1%	46
Arizona	18.7%	15
Ohio	18.5%	88
Alaska	18.4%	30
Michigan	18.4%	83
North Carolina	18.2%	100
Oregon	18.2%	36
Illinois	17.9%	102
Delaware	17.6%	3
Pennsylvania (2024 release)	17.6%	67*
Kansas	17.5%	105
Hawaii	17.4%	5
Montana	17.4%	56
Virginia	17.4%	133
Wyoming	17.4%	23
Idaho	17.3%	44
Maine	17.3%	16
New York	17.3%	62
Maryland	17.1%	24
Iowa	17.0%	99
Wisconsin	16.9%	72
Rhode Island	16.6%	5
South Dakota	16.5%	66
New Jersey	16.3%	21
North Dakota	15.8%	53
Utah	15.8%	29
Washington	15.8%	39
Connecticut	15.6%	9
Massachusetts	15.6%	14
Nebraska	15.6%	93
Minnesota	15.3%	87
Colorado	15.2%	64
District of Columbia	13.5%	1
New Hampshire	13.5%	10
Vermont	13.5%	14

State figures are population-weighted county estimates computed by this site (PLACES publishes no state row) and carry no interval; they are listed by point estimate, which is not a ranking of states' health. Lowest and highest county columns are crude point estimates. * This measure was not published for the state in the 2025 release; its figure, county count and county range come from the release in brackets, the most recent that has them.

Highest county estimates

County	Crude	95% interval
Dimmit County, TX	42.7%	37.4–47.8
Zavala County, TX	41.9%	37.3–46.6
Jim Hogg County, TX	40.8%	36.1–45.4
Starr County, TX	40.3%	34.4–46.3
Zapata County, TX	40.2%	34.6–46.2
East Carroll Parish, LA	39.9%	35.0–45.2
Oglala Lakota County, SD	39.7%	34.8–44.7
Bullock County, AL	39.4%	35.1–44.3
Greene County, AL	38.7%	33.9–43.4
Humphreys County, MS	37.9%	32.8–43.1
Kusilvak Census Area, AK	37.8%	32.8–43.3
Todd County, SD	37.8%	32.6–43.5
Madison Parish, LA	37.7%	33.3–42.6
Claiborne Parish, LA	37.3%	33.1–41.9
Perry County, AL	37.2%	32.8–41.8
Willacy County, TX	37.1%	31.8–42.1
McDowell County, WV	37.0%	32.5–41.7
Desha County, AR	36.9%	32.8–41.5
Sharkey County, MS	36.8%	32.8–40.7
Sioux County, ND	36.8%	32.5–42.1

County	Age-adj.	95% interval
Dimmit County, TX	41.9%	36.5–47.4
Zavala County, TX	41.6%	37.0–46.3
Oglala Lakota County, SD	41.1%	36.2–46.0
Starr County, TX	40.8%	34.9–46.6
Zapata County, TX	40.0%	34.5–46.2
East Carroll Parish, LA	39.7%	34.7–44.9
Jim Hogg County, TX	39.6%	34.7–44.3
Todd County, SD	39.1%	33.8–44.6
Kusilvak Census Area, AK	39.0%	34.0–44.3
Bullock County, AL	37.8%	33.4–42.5
Willacy County, TX	37.5%	32.0–42.7
Sioux County, ND	37.0%	32.6–42.1
Madison Parish, LA	36.4%	31.8–41.2
Greene County, AL	36.0%	31.0–41.1
Humphreys County, MS	36.0%	31.1–41.2
Lake County, TN	35.8%	31.3–40.3
Brooks County, TX	35.6%	31.2–40.2
Perry County, AL	35.4%	30.8–40.3
Claiborne Parish, LA	35.3%	31.2–40.0
McKinley County, NM	35.3%	30.9–39.8

Lowest county estimates

County	Crude	95% interval
Falls Church city, VA	11.0%	9.1–13.1
Douglas County, CO	11.1%	9.1–13.7
Chittenden County, VT	11.4%	9.4–13.6
Arlington County, VA	11.4%	9.6–13.7
Los Alamos County, NM	11.7%	9.7–13.9
Broomfield County, CO	11.7%	9.8–14.2
Delaware County, OH	12.0%	9.8–14.4
Teton County, WY	12.3%	10.0–14.9
Lincoln County, SD	12.3%	10.0–14.7
Johnson County, KS	12.3%	10.3–14.6
Howard County, MD	12.4%	10.5–14.6
Pitkin County, CO	12.4%	10.0–15.1
Gunnison County, CO	12.4%	10.3–14.9
King County, WA	12.5%	10.9–14.2
Summit County, UT	12.5%	10.1–15.2
Utah County, UT	12.6%	10.7–14.9
Carver County, MN	12.6%	10.4–15.2
Boulder County, CO	12.6%	10.4–15.1
Morgan County, UT	12.7%	10.5–15.5
Morris County, NJ	12.7%	10.5–15.3

County	Age-adj.	95% interval
Falls Church city, VA	10.4%	8.7–12.5
Douglas County, CO	10.7%	8.7–13.2
Los Alamos County, NM	11.0%	9.0–13.1
Chittenden County, VT	11.3%	9.4–13.5
Pitkin County, CO	11.3%	9.1–13.7
Hinsdale County, CO	11.3%	9.2–13.7
Delaware County, OH	11.4%	9.4–13.7
Broomfield County, CO	11.4%	9.4–13.9
Arlington County, VA	11.7%	9.9–13.9
Summit County, UT	11.7%	9.5–14.2
Rockingham County, NH	11.7%	9.5–14.0
Teton County, WY	11.8%	9.6–14.4
Morris County, NJ	11.8%	9.8–14.1
Howard County, MD	11.8%	10.0–13.9
Johnson County, KS	11.8%	9.8–14.0
Ouray County, CO	11.8%	9.6–14.2
Carver County, MN	11.9%	9.8–14.3
Lincoln County, SD	12.0%	9.8–14.4
Somerset County, NJ	12.1%	10.5–14.1
Washington County, RI	12.2%	9.9–14.9

Twenty counties at each end by point estimate. Small counties have wide intervals; many of these intervals overlap one another, so the order within each list is not a meaningful ranking. CDC: "the data should not be used for ranking the overall health of any county, place, census tract, or ZCTA."

National estimate by release

Release	Crude	Age-adjusted	BRFSS year
2022 release	14.5% 14.3–14.8	13.7%	2020
2023 release	16.1% 15.9–16.4	15.2%	2021
2024 release	17.9% 17.6–18.1	17.0%	2022
2025 release	19.2% 18.9–19.5	18.3%	2023

CDC's US row from each release's county file, for reference. Survey questions and modelling details change between releases; see the release pages.

Questions and answers

How does PLACES define "fair or poor self-rated health status among adults"?

A multi-level regression and post-stratification approach was applied to BRFSS and ACS data to compute a detailed probability among adults who report their general health status as “fair” or “poor”. The probability was then applied to the detailed population estimates at the appropriate geographic level to generate the prevalence. The 95% confidence interval was derived using Monte Carlo simulation. Population: All Adults. Time period of case definition: Current.

What is the national estimate for general Health?

19.2% (95% confidence interval 18.9–19.5%) crude and 18.3% age-adjusted in the 2025 release.

Which counties have the highest and lowest estimates?

The highest county point estimate is 42.7% (Dimmit County, TX) and the lowest 11.0% (Falls Church city, VA). Because the intervals for neighbouring positions usually overlap, the lists are a reference for point estimates, not a ranking.

Is a higher figure better or worse?

This site does not grade measures. CDC groups them as health outcomes, prevention, health risk behaviors, disability, health status and health-related social needs; for prevention measures such as checkups and screening a higher share reports the service, for the others a higher share reports the condition or circumstance.

Where does this data come from?

CDC PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025); the definition text is CDC's own from its measure definitions pages.

Provenance

Source: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025), with the 2022, 2023, 2024 releases for reference; US government work, public domain. Dataset on data.cdc.gov. Boundaries and ZIP-to-county relationships: US Census Bureau. Percentages are shown to one decimal as CDC publishes them; state figures are population-weighted means computed by this site. Definition text is CDC's own, from the PLACES measure definitions pages (public domain), with its burden narrative and references omitted. Processing errors are corrected at the next daily build; see corrections. Generated 30 Sep 2026.