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Florence, Alabama Music Enterprises (FAME) Recording StudiosFlorence, Alabama Music Enterprises (FAME) Recording Studios · Photo: Carol M. Highsmith · Public domain
≈ B−Health Grade
Health in Muscle Shoals · CDC PLACES 2025

Within Alabama, Muscle Shoals is healthier than 73% of graded towns

Muscle Shoals beats Alabama on 6 of 32 measures CDC estimates, and trails on none.

Modeled estimates for adults 18+, CDC’s own estimate for Muscle Shoals. How CDC estimates town health

What stands out · In brief

What stands out about health in Muscle Shoals

Muscle Shoals looks healthier next to Alabama than next to the country

It’s healthier than 73% of the 187 Alabama towns we grade, but 51% of towns nationwide. Much of Alabama scores low on these measures. Health Grade ↓

Fewer Muscle Shoals adults struggle to make ends meet

Worries about food, housing, utility bills and getting around all run below Alabama. 1 in 7 adults worry about having enough food, vs 1 in 5 adults statewide. Everyday needs ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the Alabama figure falls outside Muscle Shoals’ likely range; at the ends of CDC’s ranges the grade could be anywhere from C− to A−.

Health Grade

What’s behind Muscle Shoals’ grade

On seven CDC estimates for adults, Muscle Shoals is healthier than 51% of U.S. towns, #51 of 187 in Alabama. Physical distress holds the grade up (fewer adults with frequent physical distress than 59% of U.S. towns); diabetes pulls it down (better than 34%).

C+Self-rated health20.3% · AL 22.8% · U.S. 19.4%
BPhysical distress13.6% · AL 14.2% · U.S. 13%
B−Mental distress16.8% · AL 17.2% · U.S. 15.9%
B−Obesity35.7% · AL 39.4% · U.S. 32.9%
CDiabetes13.1% · AL 14.8% · U.S. 12%
BSmoking14% smoke · AL 15.1% · U.S. 11.8%
B−Exercise25.2% · AL 28.7% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 51%
Less healthyHealthier
Alabama towns we grade (187)Healthier than 73%
U.S. towns with similar incomes, $57K–$95K (10,832)Healthier than 57%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Muscle Shoals’ median household income is $75,894; among the 10,832 U.S. towns within 25% of that ($57K–$95K), it’s healthier than 57%, about where its income would put it.

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Muscle Shoals could be anywhere from C− to A−. The letter shows with “≈”.

How TownRatings grades health →

Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 7
Muscle Shoals adults worry about having enough food
15.1% · AL 19.2%
Better than AL
1 in 9
Muscle Shoals adults worry about keeping their housing
11.7% · AL 13.9%
Better than AL
1 in 13
Muscle Shoals adults were threatened with a utility shut-off
7.7% · AL 9.6%
Better than AL
1 in 12
Muscle Shoals adults lack reliable transportation
8.1% · AL 9.8%
Better than AL

10.2% of Muscle Shoals adults receive SNAP (food stamps), compared with 14% across Alabama.

Chronic conditions

Out of every 100 Muscle Shoals adults…

Muscle Shoals runs below AL on 1 of 12 conditions. Tap one to see it as people.

4 of every 100 Muscle Shoals adults have had a stroke
Alabama: 4 in 100 · better · likely 3.4–4%
Better than ALWorseAbout the sameAlabama
Getting care

Care in and near Muscle Shoals

1 hospital and 1 community health center in Muscle Shoals, plus the nearest just outside it.

HNearest ERNorth Alabama Shoals HospitalMuscle Shoals · 2.4 miDirections →
★Best rated nearbyHelen Keller Hospital★★★★★ · 3.7 miDirections →
+Low-cost careFamily Health Care ClinicMuscle Shoals · 2.6 mi · sliding-scale feesDirections →
2.4 mi
North Alabama Shoals Hospital
Muscle Shoals · not rated
ERIn Muscle Shoals
2.6 mi
Family Health Care Clinic
5 sites · nearest in Muscle Shoals
Sliding-scale feesIn Muscle Shoals
Directions to nearest
3.7 mi
Helen Keller Hospital
Sheffield · ★★★★★
ER
4.3 mi
North Alabama Medical Center
Florence · ★★★★★
ER
20.9 mi
Russellville Hospital
Russellville · ★★★★★
ER
34.7 mi
Tishomingo Health Care Associates
Tishomingo · community health center
Sliding-scale fees
✓ Primary careNo HRSA shortage area covers Muscle Shoals itself
✓ Dental careMuscle Shoals is not a shortage area
✓ Mental healthNo HRSA shortage area covers Muscle Shoals itself

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Muscle Shoals; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Habits

Everyday habits, side by side with Alabama

Share of adults, with the Alabama figure marked.

Get no exercise 25.2%AL 28.7%
Sleep under 7 hours 39.8%AL 39.1%
Binge drink 14.8%AL 14.1%
Smoke cigarettes 14%AL 15.1%
0%10%20%30%40%
Muscle Shoals, betterMuscle Shoals, worseAbout the sameAlabama
Where Muscle Shoals gets moving

6.9 miles of trails across 3 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

Share of Muscle Shoals adults getting routine care. The full ring is 100%; the dark tick marks Alabama.

80%Yearly checkupAL 80%
61%Dentist visitAL 57%
87%Cholesterol checkAL 86%
68%Colon screeningAL 67%
78%MammogramAL 78%
78%Taking BP medsAL 78%
1 in 12
working-age adults has no health insurance
Muscle Shoals 8.6% · Alabama 1 in 10 (9.9%)
Mind & connection

How Muscle Shoals adults are doing

About the same as Alabama on each measure.

1 in 3Muscle Shoals adults feel lonely
34.5% · AL 35.4% · About the same as AL
1 in 4Muscle Shoals adults lack social or emotional support
24.1% · AL 24.8% · About the same as AL
1 in 4Muscle Shoals adults have been diagnosed with depression
24.1% · AL 23.3% · About the same as AL
1 in 6Muscle Shoals adults are in frequent mental distress
16.8% · AL 17.2% · About the same as AL
The one neighbors can help with

1 in 3 Muscle Shoals adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Around town

Muscle Shoals and the towns around it

Muscle Shoals has the best Health Grade of the 3 graded towns around it.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Muscle ShoalsB−35.7%13.1%14%CDC place
SheffieldD41.2%17.5%19.8%CDC place
TuscumbiaC37.5%15%15.6%CDC place

Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

34.3%

of Muscle Shoals adults live with a disability (Alabama 36.5%). Walking or climbing stairs is the most common.

Walking or climbing stairs15.3%
Thinking or memory15.1%
Hearing8%
Errands alone8.7%
Vision5%
Dressing or bathing3.9%
Alabama

Every CDC estimate for Muscle Shoals

Share of adults, 40 measures, with CDC’s likely range.

On the 32 measures below that have a better and a worse direction, Muscle Shoals is better than Alabama on 6 and worse on 0; on the rest, the Alabama figure falls inside Muscle Shoals’ likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…Muscle ShoalsALU.S.vs AL
Overall health
Fair or poor health20.3%17.5–23.222.8%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)13.6%11.8–15.314.2%13%About the same
Frequent mental distress (mental health not good 14+ days a month)16.8%14.8–18.917.2%15.9%About the same
Conditions
Obesity35.7%28.2–43.539.4%32.9%About the same
Diabetes13.1%11.3–14.914.8%12%About the same
High blood pressure41%36.7–45.343.3%34.4%About the same
High cholesterol (adults screened in 5 years)40.7%36.4–45.140.7%37.1%About the same
Arthritis30.5%27–33.830.3%25.3%About the same
Asthma10.2%9–11.510%9.9%About the same
Cancer, other than skin cancer8.7%7.9–9.68.2%7.9%About the same
Coronary heart disease6.8%6–7.57.3%6.4%About the same
COPD7.3%6.4–8.38%6.3%About the same
Stroke3.7%3.4–44.1%3.4%Better
Lost all teeth (ages 65+)13.6%10.9–16.415.4%12.3%About the same
Habits
Smoke cigarettes14%11.7–16.315.1%11.8%About the same
No exercise outside work25.2%21–29.628.7%24.7%About the same
Binge drinking14.8%12.1–17.714.1%15.4%About the same
Sleep under 7 hours39.8%32.7–4739.1%36%About the same
Checkups and coverage
No health insurance (ages 18–64)8.6%7.2–10.19.9%11%About the same
Checkup in the past year80.3%76.7–83.480.4%77.4%About the same
Dentist visit in the past year61.2%57.2–6556.9%63.2%Better
Cholesterol check in 5 years86.7%84.8–88.485.8%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)77.6%74.6–80.278%76.5%About the same
Colorectal cancer screening (ages 45–75)68.2%63.1–72.867%65.5%About the same
Mammogram in 2 years (women 50–74)77.8%70.2–8477.9%76.4%About the same
Mind and connection
Ever told they have depression24.1%20.4–27.823.3%20.6%About the same
Feel lonely34.5%29.4–4035.4%32.5%About the same
Lack social and emotional support24.1%20.7–27.924.8%23.6%About the same
Everyday needs
Worried about having enough food15.1%13.1–17.519.2%15%Better
Worried about keeping housing11.7%10.1–13.513.9%12%Better
Threatened with a utility shut-off7.7%6.7–8.89.6%7.6%Better
Lack reliable transportation8.1%7.1–9.19.8%7.9%Better
Received SNAP (food stamps)10.2%8.7–1214%11.6%Lower
Disability
Any disability34.3%29.8–38.836.5%30.1%About the same
Difficulty walking or climbing stairs15.3%13.3–17.417.1%13.6%About the same
Difficulty concentrating or remembering15.1%13.2–1716.1%13.9%About the same
Hearing difficulty8%7–8.98.2%6.7%About the same
Vision difficulty5%4.5–5.56%5.4%Lower
Difficulty doing errands alone8.7%7.7–9.89.8%7.9%About the same
Difficulty dressing or bathing3.9%3.5–4.34.6%3.8%Lower

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the Alabama figure falls inside that range.

Questions about health in Muscle Shoals

Is Muscle Shoals a healthy place to live?

On seven CDC estimates for adults, Muscle Shoals is healthier than 51% of U.S. towns: ≈ B− for health, #51 of 187 in Alabama. Among U.S. towns with similar household incomes it’s healthier than 57%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Muscle Shoals?

CDC estimates 35.7% of adults have obesity, likely between 28.2% and 43.5%, against 39.4% across Alabama and 32.9% nationally.

What hospital is closest to Muscle Shoals?

North Alabama Shoals Hospital in Muscle Shoals, 2.4 miles in a straight line from Muscle Shoals’ center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Muscle Shoals have no health insurance?

CDC estimates 8.6% of adults ages 18–64 have no health insurance (likely 7.2–10.1%), against 9.9% across Alabama.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Muscle Shoals more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from C− to A−.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Muscle Shoals.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Alabama figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. The Health Grade is our own summary of CDC’s estimates, not an official rating. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.