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Onawa, IAPhoto: Jared Winkler · CC BY-SA 4.0
≈ C−Health Grade
Health in Onawa · CDC PLACES 2025

On CDC estimates, Onawa is healthier than 17% of U.S. towns

Onawa differs from Iowa on 16 of 32 measures CDC estimates: 1 better, 15 worse.

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

What stands out · In brief

What stands out about health in Onawa

COPD, stroke and heart disease run high in Onawa

1 in 10 adults have COPD (9.9%), vs 6.9% across Iowa. 1 in 22 adults have had a stroke (4.6%), vs 3.3% across Iowa. Heart disease is also above the state: 9%, vs 6.6% across Iowa. In all, Onawa runs above Iowa on seven of 11 chronic conditions. Conditions ↓

Making ends meet is harder in Onawa

1 in 6 adults worry about having enough food (15.4%), vs 12% across Iowa. Utility shut-off threats (8% vs 6.4%) and no reliable transportation (8.5% vs 6.8%) are higher too. 14.7% of adults receive SNAP, vs 10% statewide. Everyday needs ↓

More Onawa adults get no exercise

1 in 3 adults get no exercise outside work (31.2%), vs 24.8% across Iowa. 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 Iowa figure falls outside Onawa’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to B.

Health Grade

What’s behind Onawa’s grade

On seven CDC estimates for adults, Onawa is healthier than 17% of U.S. towns, #129 of 140 in Iowa. Mental distress holds the grade up (fewer adults with frequent mental distress than 35% of U.S. towns); obesity pulls it down (better than 5%).

CSelf-rated health22.6% · IA 17.8% · U.S. 19.4%
CPhysical distress15.6% · IA 12.7% · U.S. 13%
C+Mental distress17.9% · IA 16.4% · U.S. 15.9%
DObesity43.8% · IA 37.7% · U.S. 32.9%
C−Diabetes14.1% · IA 11.2% · U.S. 12%
C−Smoking18.3% smoke · IA 14.5% · U.S. 11.8%
C−Exercise31.2% · IA 24.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 17%
Less healthyHealthier
Iowa towns we grade (140)Healthier than 8%
U.S. towns with similar incomes, $47K–$78K (9,451)Healthier than 21%

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). Onawa’s median household income is $62,143; among the 9,451 U.S. towns within 25% of that ($47K–$78K), it’s healthier than 21%, so it sits below most towns with similar incomes, too.

Where Onawa compares well: taking blood pressure medicine (adults with high blood pressure), 80.8% (U.S. 76.5%).

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

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Onawa adults…

Onawa runs above IA on 8 of 12 conditions. Tap one to see it as people.

10 of every 100 Onawa adults have COPD
Iowa: 7 in 100 · worse · likely 8.3–11.6%
Better than IAWorseAbout the sameIowa
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 6
Onawa adults worry about having enough food
15.4% · IA 12%
Worse than IA
1 in 9
Onawa adults worry about keeping their housing
10.9% · IA 9.4%
About the same as IA
1 in 13
Onawa adults were threatened with a utility shut-off
8% · IA 6.4%
Worse than IA
1 in 12
Onawa adults lack reliable transportation
8.5% · IA 6.8%
Worse than IA

14.7% of Onawa adults receive SNAP (food stamps), compared with 10% across Iowa.

Habits

Everyday habits, side by side with Iowa

Share of adults, with the Iowa figure marked.

Get no exercise 31.2%IA 24.8%
Sleep under 7 hours 32.1%IA 32.5%
Binge drink 17.3%IA 20.5%
Smoke cigarettes 18.3%IA 14.5%
0%10%20%30%40%
Onawa, betterOnawa, worseAbout the sameIowa
Where Onawa gets moving

0.9 miles of trails across 5 parks and preserves

Parks & trails →
Getting care

Care in and near Onawa

1 hospital in Onawa, plus the nearest just outside it.

HNearest ERBurgess Health CenterOnawa · 0.8 miDirections →
★Best rated nearbyBurgess Health Center★★★★★ · 0.8 miDirections →
+Low-cost careMidtown Health CenterWest Point · 33.8 mi · sliding-scale feesDirections →
0.8 mi
Burgess Health Center
Onawa · ★★★★★
ERRural critical accessIn Onawa
24.3 mi
Twelve Clans Unity Hospital
Winnebago · not rated
ER
33 mi
Memorial Community Hospital & Health System
Blair · not rated
ERRural critical access
33.5 mi
Pender Community Hospital
Pender · not rated
ERRural critical access
33.8 mi
Midtown Health Center
2 sites · nearest in West Point
Sliding-scale fees
Directions to nearest
34.5 mi
Siouxland Community Health Center
3 sites · nearest in South Sioux City
Sliding-scale fees
Directions to nearest
✓ Primary careNo HRSA shortage area covers Onawa itself
✓ Dental careOnawa is not a shortage area
✓ Mental healthNo HRSA shortage area covers Onawa itself

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 Onawa; ≈ 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 Onawa adults getting routine care. The full ring is 100%; the dark tick marks Iowa.

79%Yearly checkupIA 78%
64%Dentist visitIA 67%
84%Cholesterol checkIA 84%
66%Colon screeningIA 67%
75%MammogramIA 79%
81%Taking BP medsIA 78%
1 in 13
working-age adults has no health insurance
Onawa 8% · Iowa 1 in 14 (7.3%)
Mind & connection

How Onawa adults are doing

About the same as Iowa on each measure.

1 in 3Onawa adults feel lonely
33.2% · IA 32.3% · About the same as IA
1 in 4Onawa adults lack social or emotional support
23.5% · IA 23.3% · About the same as IA
1 in 5Onawa adults have been diagnosed with depression
21.7% · IA 20.7% · About the same as IA
1 in 6Onawa adults are in frequent mental distress
17.9% · IA 16.4% · About the same as IA
The one neighbors can help with

1 in 3 Onawa 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

Onawa and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
OnawaC−43.8%14.1%18.3%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

35.3%

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

Walking or climbing stairs17.8%
Thinking or memory16%
Hearing10.4%
Errands alone10%
Vision6%
Dressing or bathing4.7%
Iowa

Every CDC estimate for Onawa

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

On the 32 measures below that have a better and a worse direction, Onawa is better than Iowa on 1 and worse on 15; on the rest, the Iowa figure falls inside Onawa’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…OnawaIAU.S.vs IA
Overall health
Fair or poor health22.6%19.3–26.517.8%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)15.6%13.5–17.912.7%13%Worse
Frequent mental distress (mental health not good 14+ days a month)17.9%15.6–20.116.4%15.9%About the same
Conditions
Obesity43.8%35.5–5237.7%32.9%About the same
Diabetes14.1%12.1–16.211.2%12%Worse
High blood pressure40.5%36.1–44.933.9%34.4%Worse
High cholesterol (adults screened in 5 years)37%32.5–41.335.3%37.1%About the same
Arthritis32.5%28.8–36.227%25.3%Worse
Asthma10.6%9.3–129.9%9.9%About the same
Cancer, other than skin cancer10.4%9.3–11.58.7%7.9%Worse
Coronary heart disease9%7.9–10.36.6%6.4%Worse
COPD9.9%8.3–11.66.9%6.3%Worse
Stroke4.6%4–5.33.3%3.4%Worse
Lost all teeth (ages 65+)17.2%14–20.711.6%12.3%Worse
Habits
Smoke cigarettes18.3%15.3–21.614.5%11.8%Worse
No exercise outside work31.2%26–36.824.8%24.7%Worse
Binge drinking17.3%14.4–20.620.5%15.4%About the same
Sleep under 7 hours32.1%26–38.732.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)8%6.3–10.17.3%11%About the same
Checkup in the past year79.1%75.6–82.477.5%77.4%About the same
Dentist visit in the past year64.4%60.6–67.966.8%63.2%About the same
Cholesterol check in 5 years83.6%81.4–85.884.1%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)80.8%78.2–83.277.8%76.5%Better
Colorectal cancer screening (ages 45–75)65.9%60.7–70.866.6%65.5%About the same
Mammogram in 2 years (women 50–74)74.9%66.8–81.978.7%76.4%About the same
Mind and connection
Ever told they have depression21.7%18.2–25.220.7%20.6%About the same
Feel lonely33.2%28.1–38.632.3%32.5%About the same
Lack social and emotional support23.5%19.7–27.323.3%23.6%About the same
Everyday needs
Worried about having enough food15.4%12.6–18.712%15%Worse
Worried about keeping housing10.9%9–139.4%12%About the same
Threatened with a utility shut-off8%6.7–9.46.4%7.6%Worse
Lack reliable transportation8.5%7.2–9.86.8%7.9%Worse
Received SNAP (food stamps)14.7%11.9–17.810%11.6%Higher
Disability
Any disability35.3%30.4–40.428.1%30.1%Higher
Difficulty walking or climbing stairs17.8%15.1–20.712.7%13.6%Higher
Difficulty concentrating or remembering16%13.8–18.613.5%13.9%Higher
Hearing difficulty10.4%9.1–11.77.4%6.7%Higher
Vision difficulty6%5.1–6.94.3%5.4%Higher
Difficulty doing errands alone10%8.5–11.67.4%7.9%Higher
Difficulty dressing or bathing4.7%4.1–5.53.4%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 Iowa figure falls inside that range.

Questions about health in Onawa

Is Onawa a healthy place to live?

On seven CDC estimates for adults, Onawa is healthier than 17% of U.S. towns: ≈ C− for health, #129 of 140 in Iowa. Among U.S. towns with similar household incomes it’s healthier than 21%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Onawa?

CDC estimates 43.8% of adults have obesity, likely between 35.5% and 52%, against 37.7% across Iowa and 32.9% nationally.

What hospital is closest to Onawa?

Burgess Health Center in Onawa, 0.8 miles in a straight line from Onawa’s center point, is the nearest general hospital with an emergency room; Medicare rates it 3 of 5 stars.

How many people in Onawa have no health insurance?

CDC estimates 8% of adults ages 18–64 have no health insurance (likely 6.3–10.1%), 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 Onawa more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to B.

Neighbors talk health

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

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.