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Warner's RanchWarner's Ranch · Photo: Historic American Buildings Survey - Jack E. Boucher · Public domain
AHealth Grade
Health in Julian · CDC PLACES 2025

On CDC estimates, Julian is healthier than 90% of U.S. towns

Julian differs from California on 20 of 32 measures CDC estimates: 17 better, 3 worse.

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

What stands out · In brief

What stands out about health in Julian

Cancer and arthritis run high in Julian

1 in 9 adults have had cancer (11%), vs 6.4% across California. 1 in 4 adults have arthritis (26.2%), vs 20.8% across California. Age is part of it: 44% of residents are 65 or older (California 16%), and cancer and arthritis are more common later in life. Conditions ↓

Julian keeps up with checkups

It beats California on five of five routine checkups and screenings, including yearly checkups (77.1% vs 71.9%) and dentist visits (75% vs 62.8%). Checkups ↓

The nearest ER is 28 miles from Julian

The closest emergency room is Palomar Medical Center Poway in Poway, 27.7 miles away in a straight line. For everyday care, Centro De Salud De La Comunidad De San Ysidro is closer (0.9 mi) and charges on a sliding scale. Getting care ↓

Julian is an active town

Only 16.9% of adults get no exercise outside work, vs 24.6% across California. The town has 17 miles of trails across 3 parks and preserves. Habits ↓

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 Julian’s likely range; at the ends of CDC’s ranges the grade could be anywhere from B+ to A+.

Health Grade

What’s behind Julian’s grade

On seven CDC estimates for adults, Julian is healthier than 90% of U.S. towns. All seven estimates beat the typical U.S. town. The strongest is obesity (fewer adults with obesity than 96% of towns); the weakest is fair or poor health, still better than 77%.

A−Self-rated health16.1% · CA 22.1% · U.S. 19.4%
A−Physical distress12.2% · CA 13.4% · U.S. 13%
A−Mental distress14.9% · CA 16.4% · U.S. 15.9%
A+Obesity24.8% · CA 27.8% · U.S. 32.9%
A−Diabetes10.1% · CA 11.7% · U.S. 12%
ASmoking9% smoke · CA 10.9% · U.S. 11.8%
AExercise16.9% · CA 24.6% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 90%
Less healthyHealthier
U.S. towns with similar incomes, $58K–$97K (10,838)Healthier than 98%

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). Julian’s median household income is $77,803; among the 10,838 U.S. towns within 25% of that ($58K–$97K), it’s healthier than 98%, about where its income would put it.

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

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Julian adults…

Julian runs below CA on 2 of 12 conditions and above it on 3. Tap one to see it as people.

11 of every 100 Julian adults have had cancer
California: 6 in 100 · worse · likely 9.9–12.2%
Better than CAWorseAbout the sameCalifornia
Why age matters here

Julian is an older town: 44% of residents are 65 or older, vs 16% across California. Arthritis and cancer rise with age, so higher rates here say as much about who lives in Julian as about how healthy they are.

Residents 65 and older

Julian44%
California16%
Checkups & screenings

Keeping up with care

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

77%Yearly checkupCA 72%
75%Dentist visitCA 63%
90%Cholesterol checkCA 85%
72%Colon screeningCA 58%
81%MammogramCA 76%
74%Taking BP medsCA 71%
1 in 19
working-age adults has no health insurance
Julian 5.3% · California 1 in 9 (10.6%)
Getting care

Care in and near Julian

1 community health center in Julian, plus the nearest just outside it.

HNearest ERPalomar Medical Center PowayPoway · 27.7 miDirections →
+Low-cost careCentro De Salud De La Comunidad De San YsidroJulian · 0.9 mi · sliding-scale feesDirections →
0.9 mi
Centro De Salud De La Comunidad De San Ysidro
2 sites · nearest in Julian
Sliding-scale feesIn Julian
Directions to nearest
17.2 mi
Dap Health
2 sites · nearest in Borrego Springs
Sliding-scale fees
Directions to nearest
27.7 mi
Palomar Medical Center Poway
Poway · ★★★★★
ER
28.4 mi
Palomar Health Downtown Campus
Escondido · ★★★★★
ER
31.7 mi
Grossmont Hospital
La Mesa · ★★★★★
ER
33.7 mi
Kaiser Foundation Hospital - San Marcos
San Marcos · ★★★★★
ER
✓ Primary careJulian is not a shortage area
✓ Dental careJulian is not a shortage area
✓ Mental healthJulian 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 Julian; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas.

Habits

Everyday habits, side by side with California

Share of adults, with the California figure marked.

Get no exercise 16.9%CA 24.6%
Sleep under 7 hours 30%CA 35.1%
Binge drink 15.9%CA 15.3%
Smoke cigarettes 9%CA 10.9%
0%10%20%30%40%
Julian, betterJulian, worseAbout the sameCalifornia
Where Julian gets moving

17 miles of trails across 3 parks and preserves

Parks & trails →
Mind & connection

How Julian adults are doing

On 2 of 4 measures, Julian does better than California.

1 in 3Julian adults feel lonely
32.2% · CA 37.3% · Better than CA
1 in 4Julian adults lack social or emotional support
23.7% · CA 28.6% · Better than CA
1 in 4Julian adults have been diagnosed with depression
22.3% · CA 20.1% · About the same as CA
1 in 7Julian adults are in frequent mental distress
14.9% · CA 16.4% · About the same as CA
The one neighbors can help with

1 in 3 Julian 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 11
Julian adults worry about having enough food
9% · CA 17.9%
Better than CA
1 in 12
Julian adults worry about keeping their housing
8.6% · CA 14.9%
Better than CA
1 in 23
Julian adults were threatened with a utility shut-off
4.3% · CA 7.3%
Better than CA
1 in 18
Julian adults lack reliable transportation
5.6% · CA 9.3%
Better than CA

8.5% of Julian adults receive SNAP (food stamps), compared with 15.6% across California.

Around town

Julian and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
JulianA24.8%10.1%9%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

26.1%

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

Walking or climbing stairs12.4%
Thinking or memory11.7%
Hearing6.6%
Errands alone6.5%
Vision3.8%
Dressing or bathing3.1%
California

Every CDC estimate for Julian

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

On the 32 measures below that have a better and a worse direction, Julian is better than California on 17 and worse on 3; on the rest, the California figure falls inside Julian’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…JulianCAU.S.vs CA
Overall health
Fair or poor health16.1%13.4–18.922.1%19.4%Better
Frequent physical distress (physical health not good 14+ days a month)12.2%10.4–13.913.4%13%About the same
Frequent mental distress (mental health not good 14+ days a month)14.9%13.1–16.716.4%15.9%About the same
Conditions
Obesity24.8%21.7–28.527.8%32.9%About the same
Diabetes10.1%8.7–11.611.7%12%Better
High blood pressure33.2%30.6–36.230.5%34.4%Worse
High cholesterol (adults screened in 5 years)38.1%35.4–41.135.4%37.1%About the same
Arthritis26.2%23.7–28.720.8%25.3%Worse
Asthma9.5%8.6–10.79.3%9.9%About the same
Cancer, other than skin cancer11%9.9–12.26.4%7.9%Worse
Coronary heart disease6.4%5.5–7.45.6%6.4%About the same
COPD5.7%4.4–75.1%6.3%About the same
Stroke3.3%2.8–3.83.1%3.4%About the same
Lost all teeth (ages 65+)5.3%4.2–6.610.6%12.3%Better
Habits
Smoke cigarettes9%7–11.110.9%11.8%About the same
No exercise outside work16.9%14–19.924.6%24.7%Better
Binge drinking15.9%14–18.215.3%15.4%About the same
Sleep under 7 hours30%26.8–33.235.1%36%Better
Checkups and coverage
No health insurance (ages 18–64)5.3%4.2–6.510.6%11%Better
Checkup in the past year77.1%74.6–79.771.9%77.4%Better
Dentist visit in the past year75%72.6–77.362.8%63.2%Better
Cholesterol check in 5 years90.2%88.9–91.585.4%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)73.9%71–76.971.3%76.5%About the same
Colorectal cancer screening (ages 45–75)72.4%68.6–75.857.5%65.5%Better
Mammogram in 2 years (women 50–74)81.2%76.1–85.775.7%76.4%Better
Mind and connection
Ever told they have depression22.3%20–24.920.1%20.6%About the same
Feel lonely32.2%28.9–35.837.3%32.5%Better
Lack social and emotional support23.7%20.9–2728.6%23.6%Better
Everyday needs
Worried about having enough food9%7.2–11.117.9%15%Better
Worried about keeping housing8.6%7.2–10.414.9%12%Better
Threatened with a utility shut-off4.3%3.6–5.17.3%7.6%Better
Lack reliable transportation5.6%4.8–6.69.3%7.9%Better
Received SNAP (food stamps)8.5%6.6–10.615.6%11.6%Lower
Disability
Any disability26.1%22.7–29.530.4%30.1%Lower
Difficulty walking or climbing stairs12.4%10.2–14.713.8%13.6%About the same
Difficulty concentrating or remembering11.7%9.9–13.414.6%13.9%Lower
Hearing difficulty6.6%5.7–7.55.9%6.7%About the same
Vision difficulty3.8%3.2–4.45.6%5.4%Lower
Difficulty doing errands alone6.5%5.5–7.78.1%7.9%Lower
Difficulty dressing or bathing3.1%2.6–3.73.9%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 California figure falls inside that range.

Questions about health in Julian

Is Julian a healthy place to live?

On seven CDC estimates for adults, Julian is healthier than 90% of U.S. towns: A for health. Among U.S. towns with similar household incomes it’s healthier than 98%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Julian?

CDC estimates 24.8% of adults have obesity, likely between 21.7% and 28.5%, against 27.8% across California and 32.9% nationally.

What hospital is closest to Julian?

Palomar Medical Center Poway in Poway, 27.7 miles in a straight line from Julian’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Julian have no health insurance?

CDC estimates 5.3% of adults ages 18–64 have no health insurance (likely 4.2–6.5%), 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 Julian more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from B+ to A+.

Neighbors talk health

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

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.