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Downtown Avoca, IowaPhoto: Jared Winkler · CC BY-SA 4.0
≈ C+Health Grade
Health in Avoca · CDC PLACES 2025

On CDC estimates, Avoca is healthier than 43% of U.S. towns

Avoca differs from Iowa on 5 of 32 measures CDC estimates: 2 better, 3 worse.

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

What stands out

What stands out about health in Avoca

Health Grade

What’s behind Avoca’s grade

On seven CDC estimates for adults, Avoca is healthier than 43% of U.S. towns. Mental distress holds the grade up (fewer adults with frequent mental distress than 53% of U.S. towns); smoking pulls it down (better than 31%).

B−Self-rated health19.3% · IA 17.8% · U.S. 19.4%
B−Physical distress14% · IA 12.7% · U.S. 13%
B−Mental distress16.9% · IA 16.4% · U.S. 15.9%
C+Obesity38% · IA 37.7% · U.S. 32.9%
B−Diabetes12% · IA 11.2% · U.S. 12%
CSmoking16.7% smoke · IA 14.5% · U.S. 11.8%
CExercise27.8% · IA 24.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 43%
Less healthyHealthier
U.S. towns with similar incomes, $55K–$91K (10,748)Healthier than 48%

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). Avoca’s median household income is $73,056; among the 10,748 U.S. towns within 25% of that ($55K–$91K), it’s healthier than 48%, about where its income would put it.

Where Avoca compares well: lost all teeth (ages 65+), 5.9% (U.S. 12.3%); taking blood pressure medicine (adults with high blood pressure), 80.7% (U.S. 76.5%).

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

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Avoca adults…

Avoca runs below IA on 1 of 12 conditions and above it on 2. Tap one to see it as people.

4 of every 100 Avoca adults have had a stroke
Iowa: 3 in 100 · worse · likely 3.4–4.5%
Better than IAWorseAbout the sameIowa
Why age matters here

Avoca is an older town: 28% of residents are 65 or older, vs 18% across Iowa. Stroke and cancer rise with age, so higher rates here say as much about who lives in Avoca as about how healthy they are.

Residents 65 and older

Avoca28%
Iowa18%
Getting care

Care in and near Avoca

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

HNearest ERMyrtue Medical CenterHarlan · 11.4 miDirections →
★Best rated nearbyCass County Memorial Hospital★★★★★ · 18.7 miDirections →
+Low-cost careAll Care Health CenterCouncil Bluffs · 30.9 mi · sliding-scale feesDirections →
11.4 mi
Myrtue Medical Center
Harlan · ★★★★★
ERRural critical access
18.7 mi
Cass County Memorial Hospital
Atlantic · ★★★★★
ERRural critical access
26.1 mi
Audubon County Memorial Hospital
Audubon · not rated
ERRural critical access
28.9 mi
CHI Health Missouri Valley
Missouri Valley · ★★★★★
ERRural critical access
30.9 mi
All Care Health Center
3 sites · nearest in Council Bluffs
Sliding-scale fees
Directions to nearest
✓ Primary careAvoca is not a shortage area
✓ Dental careAvoca is not a shortage area
✓ Mental healthAvoca 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 Avoca; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas.

Habits

Everyday habits, side by side with Iowa

Share of adults, with the Iowa figure marked.

Get no exercise 27.8%IA 24.8%
Sleep under 7 hours 34.8%IA 32.5%
Binge drink 19.6%IA 20.5%
Smoke cigarettes 16.7%IA 14.5%
0%10%20%30%40%
Avoca, betterAvoca, worseAbout the sameIowa
Where Avoca gets moving

1.3 miles of trails across 1 park or preserve

Parks & trails →
Checkups & screenings

Keeping up with care

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

78%Yearly checkupIA 78%
63%Dentist visitIA 67%
85%Cholesterol checkIA 84%
67%Colon screeningIA 67%
78%MammogramIA 79%
81%Taking BP medsIA 78%
1 in 14
working-age adults has no health insurance
Avoca 7.3% · Iowa 1 in 14 (7.3%)
Mind & connection

How Avoca adults are doing

About the same as Iowa on each measure.

1 in 3Avoca adults feel lonely
34.7% · IA 32.3% · About the same as IA
1 in 4Avoca adults lack social or emotional support
24.5% · IA 23.3% · About the same as IA
1 in 5Avoca adults have been diagnosed with depression
22% · IA 20.7% · About the same as IA
1 in 6Avoca adults are in frequent mental distress
16.9% · IA 16.4% · About the same as IA
The one neighbors can help with

1 in 3 Avoca 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 8
Avoca adults worry about having enough food
13.2% · IA 12%
About the same as IA
1 in 11
Avoca adults worry about keeping their housing
9.2% · IA 9.4%
About the same as IA
1 in 16
Avoca adults were threatened with a utility shut-off
6.3% · IA 6.4%
About the same as IA
1 in 14
Avoca adults lack reliable transportation
7.1% · IA 6.8%
About the same as IA

10.9% of Avoca adults receive SNAP (food stamps), compared with 10% across Iowa.

Around town

Avoca and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
AvocaC+38%12%16.7%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

32.8%

of Avoca adults live with a disability (Iowa 28.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs15.6%
Thinking or memory14.5%
Hearing8.9%
Errands alone8.6%
Vision4.9%
Dressing or bathing3.9%
Iowa

Every CDC estimate for Avoca

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

On the 32 measures below that have a better and a worse direction, Avoca is better than Iowa on 2 and worse on 3; on the rest, the Iowa figure falls inside Avoca’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…AvocaIAU.S.vs IA
Overall health
Fair or poor health19.3%16.1–22.817.8%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)14%11.9–16.112.7%13%About the same
Frequent mental distress (mental health not good 14+ days a month)16.9%14.7–19.116.4%15.9%About the same
Conditions
Obesity38%32.6–43.237.7%32.9%About the same
Diabetes12%10.3–13.911.2%12%About the same
High blood pressure36.8%33.3–40.433.9%34.4%About the same
High cholesterol (adults screened in 5 years)38%34.2–41.535.3%37.1%About the same
Arthritis29.3%26.2–32.427%25.3%About the same
Asthma10.5%9.2–11.89.9%9.9%About the same
Cancer, other than skin cancer10.1%9–11.18.7%7.9%Worse
Coronary heart disease7.7%6.6–8.96.6%6.4%About the same
COPD8.4%6.9–10.16.9%6.3%About the same
Stroke3.9%3.4–4.53.3%3.4%Worse
Lost all teeth (ages 65+)5.9%4.7–7.311.6%12.3%Better
Habits
Smoke cigarettes16.7%13.5–2014.5%11.8%About the same
No exercise outside work27.8%23.1–32.624.8%24.7%About the same
Binge drinking19.6%16.7–22.620.5%15.4%About the same
Sleep under 7 hours34.8%30–4032.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.3%5.4–9.57.3%11%About the same
Checkup in the past year78.2%74.8–81.177.5%77.4%About the same
Dentist visit in the past year62.6%59.2–66.166.8%63.2%Worse
Cholesterol check in 5 years84.5%81.9–86.784.1%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)80.7%78–8377.8%76.5%Better
Colorectal cancer screening (ages 45–75)67.1%62.5–71.566.6%65.5%About the same
Mammogram in 2 years (women 50–74)77.6%71–83.378.7%76.4%About the same
Mind and connection
Ever told they have depression22%18.9–25.220.7%20.6%About the same
Feel lonely34.7%30.2–39.332.3%32.5%About the same
Lack social and emotional support24.5%20.8–28.423.3%23.6%About the same
Everyday needs
Worried about having enough food13.2%10.3–16.212%15%About the same
Worried about keeping housing9.2%7.4–11.19.4%12%About the same
Threatened with a utility shut-off6.3%5.2–7.56.4%7.6%About the same
Lack reliable transportation7.1%5.8–8.36.8%7.9%About the same
Received SNAP (food stamps)10.9%8.4–13.610%11.6%About the same
Disability
Any disability32.8%28.3–37.428.1%30.1%Higher
Difficulty walking or climbing stairs15.6%13–18.412.7%13.6%Higher
Difficulty concentrating or remembering14.5%12.1–16.913.5%13.9%About the same
Hearing difficulty8.9%7.7–10.17.4%6.7%Higher
Vision difficulty4.9%4.1–5.74.3%5.4%About the same
Difficulty doing errands alone8.6%7.2–10.17.4%7.9%About the same
Difficulty dressing or bathing3.9%3.3–4.73.4%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 Iowa figure falls inside that range.

Questions about health in Avoca

Is Avoca a healthy place to live?

On seven CDC estimates for adults, Avoca is healthier than 43% of U.S. towns: ≈ C+ for health. Among U.S. towns with similar household incomes it’s healthier than 48%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Avoca?

CDC estimates 38% of adults have obesity, likely between 32.6% and 43.2%, against 37.7% across Iowa and 32.9% nationally.

What hospital is closest to Avoca?

Myrtue Medical Center in Harlan, 11.4 miles in a straight line from Avoca’s center point, is the nearest general hospital with an emergency room; Medicare rates it 3 of 5 stars.

How many people in Avoca have no health insurance?

CDC estimates 7.3% of adults ages 18–64 have no health insurance (likely 5.4–9.5%), against 7.3% across Iowa.

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 Avoca more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D to A−.

Neighbors talk health

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

Town Square →
Ask your neighbors

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