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ColumbiaCAMainStPhoto: Chris Krylov · CC BY 3.0
C+Health Grade
Health in Columbia · CDC PLACES 2025

Among U.S. towns with similar household incomes, Columbia is healthier than 70%

Columbia differs from California on 20 of 32 measures CDC estimates: 9 better, 11 worse.

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

What stands out · In brief

What stands out about health in Columbia

Cancer, COPD and heart disease run high in Columbia

1 in 9 adults have had cancer (11.5%), vs 6.4% across California. 1 in 11 adults have COPD (9%), vs 5.1% across California. Heart disease is also above the state: 8.9%, vs 5.6% across California. In all, Columbia runs above California on eight of 11 chronic conditions. Age is part of it: 33% of residents are 65 or older (California 16%), and cancer, COPD and heart disease are more common later in life. Conditions ↓

Columbia is healthier than its income would predict

Against all U.S. towns, Columbia is healthier than 43%. Against the 8,523 towns with similar household incomes ($44K–$73K), it’s healthier than 70%. Health Grade ↓

The nearest ER is 29 miles from Columbia

The closest emergency room is Sutter Amador Hospital in Jackson, 29.2 miles away in a straight line. Getting care ↓

More high blood pressure in Columbia, and more people treating it

38.7% of adults have high blood pressure (California 30.5%), but 78.1% of them take medicine for it, vs 71.3% statewide. Checkups ↓

Columbia keeps up with checkups

It beats California on three of five routine checkups and screenings, including yearly checkups (77% vs 71.9%) and cholesterol checks (87.2% vs 85.4%). Checkups ↓

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 California figure falls outside Columbia’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C− to B+.

Health Grade

What’s behind Columbia’s grade

On seven CDC estimates for adults, Columbia is healthier than 43% of U.S. towns. Obesity holds the grade up (fewer adults with obesity than 84% of U.S. towns); physical distress pulls it down (better than 19%).

CSelf-rated health22.8% · CA 22.1% · U.S. 19.4%
C−Physical distress16.3% · CA 13.4% · U.S. 13%
CMental distress18.2% · CA 16.4% · U.S. 15.9%
A−Obesity29.7% · CA 27.8% · U.S. 32.9%
CDiabetes13.4% · CA 11.7% · U.S. 12%
B+Smoking13.2% smoke · CA 10.9% · U.S. 11.8%
BExercise24.8% · CA 24.6% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 43%
Less healthyHealthier
U.S. towns with similar incomes, $44K–$73K (8,523)Healthier than 70%

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). Columbia’s median household income is $58,520; among the 8,523 U.S. towns within 25% of that ($44K–$73K), it’s healthier than 70%, more than its income alone would suggest.

Where Columbia compares well: no health insurance (ages 18–64), 6.4% (U.S. 11%).

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Columbia could be anywhere from C− to B+.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Columbia adults…

Columbia runs above CA on 9 of 12 conditions. Tap one to see it as people.

12 of every 100 Columbia adults have had cancer
California: 6 in 100 · worse · likely 10.4–12.6%
Better than CAWorseAbout the sameCalifornia
Why age matters here

Columbia is an older town: 33% of residents are 65 or older, vs 16% across California. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Columbia as about how healthy they are.

Residents 65 and older

Columbia33%
California16%
Getting care

Care in and near Columbia

No hospital or community health center in Columbia itself. These are the nearest.

HNearest ERSutter Amador HospitalJackson · 29.2 miDirections →
+Low-cost careWellspace Health - Amador Community Health CenterJackson · 31.6 mi · sliding-scale feesDirections →
4.4 mi
Adventist Health Sonora
Sonora · ★★★★★
17.6 mi
Mark Twain Medical Center
San Andreas · ★★★★★
Rural critical access
29.2 mi
Sutter Amador Hospital
Jackson · ★★★★★
ER
30.8 mi
Oak Valley Hospital District
Oakdale · ★★★★★
ER
31.6 mi
Wellspace Health - Amador Community Health Center
Jackson · community health center
Sliding-scale fees
33 mi
Livingston Community Health
4 sites · nearest in Waterford
Sliding-scale fees
Directions to nearest
✓ Primary careColumbia is not a shortage area
✓ Dental careColumbia is not a shortage area
✓ Mental healthColumbia is not a shortage area

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 Columbia; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas.

Checkups & screenings

Keeping up with care

Share of Columbia adults getting routine care. The full ring is 100%; the dark tick marks California.

77%Yearly checkupCA 72%
65%Dentist visitCA 63%
87%Cholesterol checkCA 85%
68%Colon screeningCA 58%
73%MammogramCA 76%
78%Taking BP medsCA 71%
1 in 16
working-age adults has no health insurance
Columbia 6.4% · California 1 in 9 (10.6%)
Habits

Everyday habits, side by side with California

Share of adults, with the California figure marked.

Get no exercise 24.8%CA 24.6%
Sleep under 7 hours 33.8%CA 35.1%
Binge drink 14.7%CA 15.3%
Smoke cigarettes 13.2%CA 10.9%
0%10%20%30%40%
Columbia, betterColumbia, worseAbout the sameCalifornia
Where Columbia gets moving

5.5 miles of trails across 2 parks and preserves

Parks & trails →
Mind & connection

How Columbia adults are doing

On 1 of 4 measures, Columbia runs above California.

1 in 3Columbia adults feel lonely
32.2% · CA 37.3% · Better than CA
1 in 4Columbia adults lack social or emotional support
23.2% · CA 28.6% · Better than CA
1 in 4Columbia adults have been diagnosed with depression
25.5% · CA 20.1% · Worse than CA
1 in 5Columbia adults are in frequent mental distress
18.2% · CA 16.4% · About the same as CA
The one neighbors can help with

1 in 3 Columbia 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.

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
Columbia adults worry about having enough food
13.6% · CA 17.9%
Better than CA
1 in 9
Columbia adults worry about keeping their housing
10.8% · CA 14.9%
Better than CA
1 in 15
Columbia adults were threatened with a utility shut-off
6.6% · CA 7.3%
About the same as CA
1 in 12
Columbia adults lack reliable transportation
8.3% · CA 9.3%
About the same as CA

14.6% of Columbia adults receive SNAP (food stamps), compared with 15.6% across California.

Around town

Columbia and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
ColumbiaC+29.7%13.4%13.2%CDC place
Tuttletown————

Tuttletown: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

35.9%

of Columbia adults live with a disability (California 30.4%). Walking or climbing stairs is the most common.

Walking or climbing stairs18.8%
Thinking or memory15.8%
Hearing9.1%
Errands alone10.1%
Vision5.9%
Dressing or bathing4.8%
California

Every CDC estimate for Columbia

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

On the 32 measures below that have a better and a worse direction, Columbia is better than California on 9 and worse on 11; on the rest, the California figure falls inside Columbia’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…ColumbiaCAU.S.vs CA
Overall health
Fair or poor health22.8%19.9–26.222.1%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)16.3%14.3–18.513.4%13%Worse
Frequent mental distress (mental health not good 14+ days a month)18.2%16.1–20.316.4%15.9%About the same
Conditions
Obesity29.7%23.2–37.327.8%32.9%About the same
Diabetes13.4%11.5–15.511.7%12%About the same
High blood pressure38.7%34.8–43.130.5%34.4%Worse
High cholesterol (adults screened in 5 years)40.1%36.1–44.635.4%37.1%Worse
Arthritis31.8%28.4–35.420.8%25.3%Worse
Asthma11.2%10–12.69.3%9.9%Worse
Cancer, other than skin cancer11.5%10.4–12.66.4%7.9%Worse
Coronary heart disease8.9%7.9–105.6%6.4%Worse
COPD9%7.7–10.45.1%6.3%Worse
Stroke4.7%4.1–5.23.1%3.4%Worse
Lost all teeth (ages 65+)11.3%9.1–14.110.6%12.3%About the same
Habits
Smoke cigarettes13.2%11.1–15.610.9%11.8%Worse
No exercise outside work24.8%20.7–29.624.6%24.7%About the same
Binge drinking14.7%12.1–17.715.3%15.4%About the same
Sleep under 7 hours33.8%27.5–40.735.1%36%About the same
Checkups and coverage
No health insurance (ages 18–64)6.4%5.3–7.810.6%11%Better
Checkup in the past year77%73.5–80.471.9%77.4%Better
Dentist visit in the past year65.2%61.7–68.762.8%63.2%About the same
Cholesterol check in 5 years87.2%85.5–88.885.4%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)78.1%75.1–8171.3%76.5%Better
Colorectal cancer screening (ages 45–75)68.4%63.4–73.557.5%65.5%Better
Mammogram in 2 years (women 50–74)72.8%64.8–80.375.7%76.4%About the same
Mind and connection
Ever told they have depression25.5%22–29.420.1%20.6%Worse
Feel lonely32.2%27.4–37.237.3%32.5%Better
Lack social and emotional support23.2%19.9–26.928.6%23.6%Better
Everyday needs
Worried about having enough food13.6%11.4–16.117.9%15%Better
Worried about keeping housing10.8%9.2–12.514.9%12%Better
Threatened with a utility shut-off6.6%5.6–7.67.3%7.6%About the same
Lack reliable transportation8.3%7.2–9.49.3%7.9%About the same
Received SNAP (food stamps)14.6%12.3–1715.6%11.6%About the same
Disability
Any disability35.9%31.5–40.630.4%30.1%Higher
Difficulty walking or climbing stairs18.8%16.2–21.613.8%13.6%Higher
Difficulty concentrating or remembering15.8%13.9–17.914.6%13.9%About the same
Hearing difficulty9.1%8.1–10.35.9%6.7%Higher
Vision difficulty5.9%5.2–6.65.6%5.4%About the same
Difficulty doing errands alone10.1%8.9–11.48.1%7.9%Higher
Difficulty dressing or bathing4.8%4.2–5.43.9%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 California figure falls inside that range.

Questions about health in Columbia

Is Columbia a healthy place to live?

On seven CDC estimates for adults, Columbia is healthier than 43% of U.S. towns: C+ 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 Columbia?

CDC estimates 29.7% of adults have obesity, likely between 23.2% and 37.3%, against 27.8% across California and 32.9% nationally.

What hospital is closest to Columbia?

Sutter Amador Hospital in Jackson, 29.2 miles in a straight line from Columbia’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Columbia have no health insurance?

CDC estimates 6.4% of adults ages 18–64 have no health insurance (likely 5.3–7.8%), against 10.6% across California.

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 Columbia more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from C− to B+.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Columbia.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The California 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.