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A−Health Grade
Health in Twin Lakes · CDC PLACES 2025

On CDC estimates, Twin Lakes is healthier than 78% of U.S. towns

Twin Lakes differs from California on 10 of 32 measures CDC estimates: 8 better, 2 worse.

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

What stands out · In brief

What stands out about health in Twin Lakes

Cancer and depression run high in Twin Lakes

1 in 11 adults have had cancer (8.9%), vs 6.4% across California. 1 in 4 adults have been diagnosed with depression (23.8%), vs 20.1% across California. Conditions ↓

Twin Lakes is an active town

Only 19.8% of adults get no exercise outside work, vs 24.6% across California. Habits ↓

Fewer Twin Lakes adults struggle to make ends meet

Worries about food, housing and getting around all run below California. 1 in 8 adults worry about having enough food, vs 1 in 6 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 California figure falls outside Twin Lakes’ likely range; at the ends of CDC’s ranges the grade could be anywhere from B− to A.

Health Grade

What’s behind Twin Lakes’ grade

On seven CDC estimates for adults, Twin Lakes is healthier than 78% of U.S. towns, #276 of 847 in California. All seven estimates beat the typical U.S. town. The strongest is obesity (fewer adults with obesity than 92% of towns); the weakest is fair or poor health, still better than 53%.

B−Self-rated health19.1% · CA 22.1% · U.S. 19.4%
B+Physical distress13.1% · CA 13.4% · U.S. 13%
BMental distress16.6% · CA 16.4% · U.S. 15.9%
AObesity26.7% · CA 27.8% · U.S. 32.9%
A−Diabetes10.3% · CA 11.7% · U.S. 12%
ASmoking10.3% smoke · CA 10.9% · U.S. 11.8%
A−Exercise19.8% · CA 24.6% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 78%
Less healthyHealthier
California towns we grade (847)Healthier than 67%
U.S. towns with similar incomes, $68K–$113K (9,933)Healthier than 80%

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). Twin Lakes’ median household income is $90,087; among the 9,933 U.S. towns within 25% of that ($68K–$113K), it’s healthier than 80%, 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, Twin Lakes could be anywhere from B− to A.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Twin Lakes adults…

Twin Lakes runs above CA on 2 of 12 conditions. Tap one to see it as people.

9 of every 100 Twin Lakes adults have had cancer
California: 6 in 100 · worse · likely 8.1–9.8%
Better than CAWorseAbout the sameCalifornia
Habits

Everyday habits, side by side with California

Share of adults, with the California figure marked.

Get no exercise 19.8%CA 24.6%
Sleep under 7 hours 32.9%CA 35.1%
Binge drink 17.4%CA 15.3%
Smoke cigarettes 10.3%CA 10.9%
0%10%20%30%40%
Twin Lakes, betterTwin Lakes, worseAbout the sameCalifornia
Where Twin Lakes gets moving

2.9 miles of trails across 7 parks and preserves

Parks & trails →
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 8
Twin Lakes adults worry about having enough food
12.2% · CA 17.9%
Better than CA
1 in 9
Twin Lakes adults worry about keeping their housing
10.6% · CA 14.9%
Better than CA
1 in 16
Twin Lakes adults were threatened with a utility shut-off
6.2% · CA 7.3%
About the same as CA
1 in 14
Twin Lakes adults lack reliable transportation
7.4% · CA 9.3%
Better than CA

11.7% of Twin Lakes adults receive SNAP (food stamps), compared with 15.6% across California.

Getting care

Care in and near Twin Lakes

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

HNearest ERDominican HospitalSanta Cruz · 1.9 miDirections →
★Best rated nearbyDominican Hospital★★★★★ · 1.9 miDirections →
+Low-cost careCounty of Santa CruzSanta Cruz · 0.4 mi · sliding-scale feesDirections →
0.4 mi
County of Santa Cruz
6 sites · nearest in Santa Cruz
Sliding-scale feesIn Twin Lakes
Directions to nearest
1.1 mi
Santa Cruz Community Health Centers
2 sites · nearest in Santa Cruz
Sliding-scale fees
Directions to nearest
1.9 mi
Dominican Hospital
Santa Cruz · ★★★★★
ER
2 mi
Sutter Maternity & Surgery Center of Santa Cruz
Santa Cruz · not rated
11.2 mi
Watsonville Community Hospital
Watsonville · ★★★★★
ER
18.1 mi
Hazel Hawkins Memorial Hospital
Hollister · not rated
ERRural critical access
✓ Primary careTwin Lakes is not a shortage area
✓ Dental careTwin Lakes is not a shortage area
! Mental healthPart of Twin Lakes is a federal shortage area.MSSA 185.1 - Santa Cruz · need score 11 of 25

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 Twin Lakes; ≈ 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).

Checkups & screenings

Keeping up with care

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

73%Yearly checkupCA 72%
65%Dentist visitCA 63%
87%Cholesterol checkCA 85%
67%Colon screeningCA 58%
77%MammogramCA 76%
73%Taking BP medsCA 71%
1 in 14
working-age adults has no health insurance
Twin Lakes 7.1% · California 1 in 9 (10.6%)
Mind & connection

How Twin Lakes adults are doing

On 1 of 4 measures, Twin Lakes runs above California.

1 in 3Twin Lakes adults feel lonely
33.6% · CA 37.3% · About the same as CA
1 in 5Twin Lakes adults lack social or emotional support
21.9% · CA 28.6% · Better than CA
1 in 4Twin Lakes adults have been diagnosed with depression
23.8% · CA 20.1% · Worse than CA
1 in 6Twin Lakes adults are in frequent mental distress
16.6% · CA 16.4% · About the same as CA
The one neighbors can help with

1 in 3 Twin Lakes 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

Twin Lakes and the towns around it

Twin Lakes’s Health Grade ranks 3rd of 4 graded towns around it.

Pleasure Point: 25.7%Santa Cruz: 24.5%Live Oak: 26.9%Capitola: 26.4%Paradise Park: 23.2%Pasatiempo: 23.2%Soquel: 25%Twin Lakes: 26.7%Twin LakesPleasure PointSanta CruzLive OakDominican Hospital · Santa Cruz · 1.9 mi · 4★ MedicareHSutter Maternity & Surgery Center of Santa Cruz · Santa Cruz · 2 miHJanus of Santa Cruz · Santa Cruz · 0.4 mi+East Cliff Family Health Center · Santa Cruz · 1.1 mi+
Healthier than CANear CALess healthyHHospital+Health center
Obesity
#7 of 8 towns on this map, healthiest first
Santa Cruz24.5%
Pleasure Point25.7%
Twin Lakes26.7%
Live Oak26.9%
CA27.8%

Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Twin LakesA−26.7%10.3%10.3%CDC place
Pleasure PointA25.7%9.3%9.6%CDC place
Santa CruzA−24.5%8%9.2%CDC place
Live OakB+26.9%10.8%10.9%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

29%

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

Walking or climbing stairs13.4%
Thinking or memory13.4%
Hearing6.5%
Errands alone7.8%
Vision4.6%
Dressing or bathing3.5%
California

Every CDC estimate for Twin Lakes

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

On the 32 measures below that have a better and a worse direction, Twin Lakes is better than California on 8 and worse on 2; on the rest, the California figure falls inside Twin Lakes’ likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…Twin LakesCAU.S.vs CA
Overall health
Fair or poor health19.1%16.2–2222.1%19.4%Better
Frequent physical distress (physical health not good 14+ days a month)13.1%11.3–14.913.4%13%About the same
Frequent mental distress (mental health not good 14+ days a month)16.6%14.5–18.816.4%15.9%About the same
Conditions
Obesity26.7%21–32.727.8%32.9%About the same
Diabetes10.3%8.8–11.911.7%12%About the same
High blood pressure32.2%28.5–35.930.5%34.4%About the same
High cholesterol (adults screened in 5 years)35.6%31.6–39.535.4%37.1%About the same
Arthritis23.7%20.8–26.720.8%25.3%About the same
Asthma10.2%8.9–11.59.3%9.9%About the same
Cancer, other than skin cancer8.9%8.1–9.86.4%7.9%Worse
Coronary heart disease6.2%5.5–75.6%6.4%About the same
COPD5.8%4.9–6.85.1%6.3%About the same
Stroke3.3%2.9–3.73.1%3.4%About the same
Lost all teeth (ages 65+)9.4%7.5–11.610.6%12.3%About the same
Habits
Smoke cigarettes10.3%8.4–12.610.9%11.8%About the same
No exercise outside work19.8%16.1–23.624.6%24.7%Better
Binge drinking17.4%14.5–20.515.3%15.4%About the same
Sleep under 7 hours32.9%27.3–38.935.1%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.1%5.9–8.510.6%11%Better
Checkup in the past year72.5%68.6–76.271.9%77.4%About the same
Dentist visit in the past year65.2%61.8–68.562.8%63.2%About the same
Cholesterol check in 5 years86.8%85.1–88.585.4%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)73.3%70–76.271.3%76.5%About the same
Colorectal cancer screening (ages 45–75)67%62–71.657.5%65.5%Better
Mammogram in 2 years (women 50–74)77.4%70.1–83.675.7%76.4%About the same
Mind and connection
Ever told they have depression23.8%20.4–27.320.1%20.6%Worse
Feel lonely33.6%28.7–38.837.3%32.5%About the same
Lack social and emotional support21.9%18.5–25.628.6%23.6%Better
Everyday needs
Worried about having enough food12.2%10–14.717.9%15%Better
Worried about keeping housing10.6%8.9–12.514.9%12%Better
Threatened with a utility shut-off6.2%5.3–7.37.3%7.6%About the same
Lack reliable transportation7.4%6.4–8.69.3%7.9%Better
Received SNAP (food stamps)11.7%9.7–14.215.6%11.6%Lower
Disability
Any disability29%24.9–33.230.4%30.1%About the same
Difficulty walking or climbing stairs13.4%11.4–15.613.8%13.6%About the same
Difficulty concentrating or remembering13.4%11.6–15.414.6%13.9%About the same
Hearing difficulty6.5%5.8–7.45.9%6.7%About the same
Vision difficulty4.6%4.1–5.25.6%5.4%Lower
Difficulty doing errands alone7.8%6.8–8.98.1%7.9%About the same
Difficulty dressing or bathing3.5%3.1–43.9%3.8%About the same

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 Twin Lakes

Is Twin Lakes a healthy place to live?

On seven CDC estimates for adults, Twin Lakes is healthier than 78% of U.S. towns: A− for health, #276 of 847 in California. Among U.S. towns with similar household incomes it’s healthier than 80%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Twin Lakes?

CDC estimates 26.7% of adults have obesity, likely between 21% and 32.7%, against 27.8% across California and 32.9% nationally.

What hospital is closest to Twin Lakes?

Dominican Hospital in Santa Cruz, 1.9 miles in a straight line from Twin Lakes’ center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Twin Lakes have no health insurance?

CDC estimates 7.1% of adults ages 18–64 have no health insurance (likely 5.9–8.5%), 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 Twin Lakes 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 Twin Lakes.

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.