Among U.S. towns with similar household incomes, Reform is healthier than 45%
Reform differs from Alabama on 20 of 32 measures CDC estimates: 3 better, 17 worse.
Modeled estimates for adults 18+, CDC’s own estimate for Reform. How CDC estimates town health
What stands out about health in Reform
Reform is in the bottom 5% of U.S. towns for health
On the seven CDC estimates behind the Health Grade, Reform is healthier than only 5% of U.S. towns. It earns a D on six of the seven. Health Grade ↓
Stroke, COPD and diabetes run high in Reform
1 in 16 adults have had a stroke (6.1%), vs 4.1% across Alabama. 1 in 9 adults have COPD (11.3%), vs 8% across Alabama. Diabetes is also above the state: 20.4%, vs 14.8% across Alabama. In all, Reform runs above Alabama on seven of 11 chronic conditions. Conditions ↓
Making ends meet is harder in Reform
3 in 10 adults worry about having enough food (29.2%), vs 19.2% across Alabama. Utility shut-off threats (15% vs 9.6%) and housing insecurity (20.5% vs 13.9%) are higher too. 24.6% of adults receive SNAP, vs 14% statewide. Everyday needs ↓
More high blood pressure in Reform, and more people treating it
53.1% of adults have high blood pressure (Alabama 43.3%), but 81.9% of them take medicine for it, vs 78% statewide. Checkups ↓
Reform is healthier than its income would predict
Against all U.S. towns, Reform is healthier than 5%. Against the 1,012 towns with similar household incomes ($25K–$42K), it’s healthier than 45%. Health Grade ↓
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 Reform’s likely range.
What’s behind Reform’s grade
On seven CDC estimates for adults, Reform is healthier than 5% of U.S. towns. Mental distress holds the grade up (fewer adults with frequent mental distress than 27% of U.S. towns); obesity pulls it down (near the bottom of U.S. towns).
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). Reform’s median household income is $33,578; among the 1,012 U.S. towns within 25% of that ($25K–$42K), it’s healthier than 45%, about where its income would put it.
Where Reform compares well: binge drinking, 10.7% (U.S. 15.4%); checkup in the past year, 83.8% (U.S. 77.4%); taking blood pressure medicine (adults with high blood pressure), 81.9% (U.S. 76.5%).
Out of every 100 Reform adults…
Reform runs above AL on 8 of 12 conditions. Tap one to see it as people.
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
24.6% of Reform adults receive SNAP (food stamps), compared with 14% across Alabama.
Keeping up with care
Share of Reform adults getting routine care. The full ring is 100%; the dark tick marks Alabama.
Care in and near Reform
No hospital or community health center in Reform itself. These are the nearest.
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 Reform; ≈ 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).
Everyday habits, side by side with Alabama
Share of adults, with the Alabama figure marked.
3.4 miles of trails across 1 park or preserve
How Reform adults are doing
About the same as Alabama on each measure.
4 in 10 Reform adults feel lonely. A hello is a start.
Groups are the easiest way in: a walking group, a book club, your street.
If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.
Reform and the towns around it
How health changes across the town line.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|---|---|---|---|---|
| Reform | D | 50% | 20.4% | 19% | CDC place |
Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of Reform adults live with a disability (Alabama 36.5%). Walking or climbing stairs is the most common.
Every CDC estimate for Reform
Share of adults, 40 measures, with CDC’s likely range.
On the 32 measures below that have a better and a worse direction, Reform is better than Alabama on 3 and worse on 17; on the rest, the Alabama figure falls inside Reform’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.
| Adults who… | Reform | AL | U.S. | vs AL |
|---|---|---|---|---|
| Overall health | ||||
| Fair or poor health | 31%27–34.9 | 22.8% | 19.4% | Worse |
| Frequent physical distress (physical health not good 14+ days a month) | 17.6%15.4–20 | 14.2% | 13% | Worse |
| Frequent mental distress (mental health not good 14+ days a month) | 18.4%16.2–20.8 | 17.2% | 15.9% | About the same |
| Conditions | ||||
| Obesity | 50%41.5–59.2 | 39.4% | 32.9% | Worse |
| Diabetes | 20.4%17.8–23.1 | 14.8% | 12% | Worse |
| High blood pressure | 53.1%48.5–57.7 | 43.3% | 34.4% | Worse |
| High cholesterol (adults screened in 5 years) | 44.4%39.9–49.3 | 40.7% | 37.1% | About the same |
| Arthritis | 36.6%32.9–40.7 | 30.3% | 25.3% | Worse |
| Asthma | 11.3%10–12.9 | 10% | 9.9% | About the same |
| Cancer, other than skin cancer | 8.6%7.8–9.6 | 8.2% | 7.9% | About the same |
| Coronary heart disease | 9.9%8.8–11 | 7.3% | 6.4% | Worse |
| COPD | 11.3%9.7–12.8 | 8% | 6.3% | Worse |
| Stroke | 6.1%5.5–6.8 | 4.1% | 3.4% | Worse |
| Lost all teeth (ages 65+) | 24.6%20.5–29.1 | 15.4% | 12.3% | Worse |
| Habits | ||||
| Smoke cigarettes | 19%16.1–22.1 | 15.1% | 11.8% | Worse |
| No exercise outside work | 37.6%31.9–43.8 | 28.7% | 24.7% | Worse |
| Binge drinking | 10.7%8.6–13.2 | 14.1% | 15.4% | Better |
| Sleep under 7 hours | 42.2%35.6–49.1 | 39.1% | 36% | About the same |
| Checkups and coverage | ||||
| No health insurance (ages 18–64) | 11.9%9.6–14.6 | 9.9% | 11% | About the same |
| Checkup in the past year | 83.8%80.8–86.7 | 80.4% | 77.4% | Better |
| Dentist visit in the past year | 49.5%45.6–53.6 | 56.9% | 63.2% | Worse |
| Cholesterol check in 5 years | 86.7%84.8–88.5 | 85.8% | 87.1% | About the same |
| Taking blood pressure medicine (adults with high blood pressure) | 81.9%79.4–84.4 | 78% | 76.5% | Better |
| Colorectal cancer screening (ages 45–75) | 66.1%61–71 | 67% | 65.5% | About the same |
| Mammogram in 2 years (women 50–74) | 78.4%71.5–84.6 | 77.9% | 76.4% | About the same |
| Mind and connection | ||||
| Ever told they have depression | 22%18.6–25.8 | 23.3% | 20.6% | About the same |
| Feel lonely | 37%31.7–42.6 | 35.4% | 32.5% | About the same |
| Lack social and emotional support | 28.5%24.6–32.7 | 24.8% | 23.6% | About the same |
| Everyday needs | ||||
| Worried about having enough food | 29.2%25.3–33.3 | 19.2% | 15% | Worse |
| Worried about keeping housing | 20.5%17.8–23.4 | 13.9% | 12% | Worse |
| Threatened with a utility shut-off | 15%13.1–17.1 | 9.6% | 7.6% | Worse |
| Lack reliable transportation | 14%12.2–15.8 | 9.8% | 7.9% | Worse |
| Received SNAP (food stamps) | 24.6%21.2–28.3 | 14% | 11.6% | Higher |
| Disability | ||||
| Any disability | 44.3%39–49.7 | 36.5% | 30.1% | Higher |
| Difficulty walking or climbing stairs | 24.3%21.2–27.4 | 17.1% | 13.6% | Higher |
| Difficulty concentrating or remembering | 18.7%16.3–21.2 | 16.1% | 13.9% | Higher |
| Hearing difficulty | 10.1%9–11.4 | 8.2% | 6.7% | Higher |
| Vision difficulty | 9%7.9–10 | 6% | 5.4% | Higher |
| Difficulty doing errands alone | 13.3%11.7–15 | 9.8% | 7.9% | Higher |
| Difficulty dressing or bathing | 7%6.2–7.9 | 4.6% | 3.8% | Higher |
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 Reform
Is Reform a healthy place to live?
On seven CDC estimates for adults, Reform is healthier than 5% of U.S. towns: D for health. These are modeled estimates of who lives there, not a measure of local care or habits alone.
What is the obesity rate in Reform?
CDC estimates 50% of adults have obesity, likely between 41.5% and 59.2%, against 39.4% across Alabama and 32.9% nationally.
What hospital is closest to Reform?
Fayette Medical Center in Fayette, 25.3 miles in a straight line from Reform’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.
How many people in Reform have no health insurance?
CDC estimates 11.9% of adults ages 18–64 have no health insurance (likely 9.6–14.6%), 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 Reform more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to C−.
Neighbors talk health
Doctors taking patients, urgent care, staying active in Reform.
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.