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Front north of Ford in PrestonsburgPhoto: Nyttend · Public domain
D−Health Grade
Health in Prestonsburg · CDC PLACES 2025

Among U.S. towns with similar household incomes, Prestonsburg is healthier than 54%

Prestonsburg differs from Kentucky on 20 of 31 measures CDC estimates: 1 better, 19 worse.

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

What stands out · In brief

What stands out about health in Prestonsburg

Prestonsburg is in the bottom 4% of U.S. towns for health

On the seven CDC estimates behind the Health Grade, Prestonsburg is healthier than only 4% of U.S. towns. It earns a D on six of the seven. Health Grade ↓

Dental care lags in Prestonsburg

47.7% of adults saw a dentist this year, vs 58.1% across Kentucky. Among those 65 and older, 32.4% have lost all their teeth (Kentucky 18.9%). Checkups ↓

COPD, stroke and heart disease run high in Prestonsburg

1 in 7 adults have COPD (15.1%), vs 10.2% across Kentucky. 1 in 17 adults have had a stroke (5.8%), vs 4% across Kentucky. Heart disease is also above the state: 11.1%, vs 8.2% across Kentucky. In all, Prestonsburg runs above Kentucky on six of 11 chronic conditions. Conditions ↓

Prestonsburg is healthier than its income would predict

Against all U.S. towns, Prestonsburg is healthier than 4%. Against the 251 towns with similar household incomes ($19K–$32K), it’s healthier than 54%. Health Grade ↓

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 Kentucky figure falls outside Prestonsburg’s likely range.

Health Grade

What’s behind Prestonsburg’s grade

On seven CDC estimates for adults, Prestonsburg is healthier than 4% of U.S. towns, #135 of 141 in Kentucky. Obesity holds the grade up (fewer adults with obesity than 16% of U.S. towns); physical distress pulls it down (near the bottom of U.S. towns).

D−Self-rated health30.8% · KY 22.4% · U.S. 19.4%
D−Physical distress20.3% · KY 15.2% · U.S. 13%
DMental distress19.8% · KY 17.4% · U.S. 15.9%
C−Obesity40.8% · KY 38.3% · U.S. 32.9%
DDiabetes17.3% · KY 13.7% · U.S. 12%
D−Smoking23.6% smoke · KY 18.5% · U.S. 11.8%
DExercise35.7% · KY 26.9% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 4%
Less healthyHealthier
Kentucky towns we grade (141)Healthier than 4%
U.S. towns with similar incomes, $19K–$32K (251)Healthier than 54%

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). Prestonsburg’s median household income is $25,746; among the 251 U.S. towns within 25% of that ($19K–$32K), it’s healthier than 54%, about where its income would put it.

Where Prestonsburg compares well: binge drinking, 11.3% (U.S. 15.4%).

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

How TownRatings grades health →

Checkups & screenings

Keeping up with care

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

81%Yearly checkupKY 79%
48%Dentist visitKY 58%
82%Cholesterol checkKY 84%
61%Colon screeningKY 66%
68%MammogramKY 73%
83%Taking BP medsKY 81%
1 in 11
working-age adults has no health insurance
Prestonsburg 9% · Kentucky 1 in 19 (5.4%)
Chronic conditions

Out of every 100 Prestonsburg adults…

Prestonsburg runs above KY on 8 of 12 conditions. Tap one to see it as people.

15 of every 100 Prestonsburg adults have COPD
Kentucky: 10 in 100 · worse · likely 13.6–16.6%
Better than KYWorseAbout the sameKentucky
Getting care

Care in and near Prestonsburg

1 hospital and 1 community health center in Prestonsburg, plus the nearest just outside it.

HNearest ERHighlands ARH Regional Medical CenterPrestonsburg · 3.5 miDirections →
★Best rated nearbyHighlands ARH Regional Medical Center★★★★★ · 3.5 miDirections →
+Low-cost careMountain Comprehensive Care CenterPrestonsburg · 1 mi · sliding-scale feesDirections →
1 mi
Mountain Comprehensive Care Center
7 sites · nearest in Prestonsburg
Sliding-scale feesIn Prestonsburg
Directions to nearest
3.5 mi
Highlands ARH Regional Medical Center
Prestonsburg · ★★★★★
ERIn Prestonsburg
3.5 mi
Physicians for Women and Families
Auxier · community health center
Sliding-scale fees
7 mi
ARH Our Lady of the Way
Martin · not rated
ERRural critical access
9.7 mi
Paintsville ARH Hospital
Paintsville · ★★★★★
ER
16.6 mi
Mcdowell ARH Hospital
Mc Dowell · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Prestonsburg itself
✓ Dental careNo HRSA shortage area covers Prestonsburg itself
✓ Mental healthNo HRSA shortage area covers Prestonsburg 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 Prestonsburg; ≈ 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).

Habits

Everyday habits, side by side with Kentucky

Share of adults, with the Kentucky figure marked.

Get no exercise 35.7%KY 26.9%
Sleep under 7 hours 45.3%KY 39.6%
Binge drink 11.3%KY 14.2%
Smoke cigarettes 23.6%KY 18.5%
0%10%20%30%40%50%
Prestonsburg, betterPrestonsburg, worseAbout the sameKentucky
Where Prestonsburg gets moving

7.3 miles of trails across 3 parks and preserves

Parks & trails →
Mind & connection

How Prestonsburg adults are doing

On 1 of 3 measures, Prestonsburg runs above Kentucky.

1 in 4Prestonsburg adults lack social or emotional support
23% · KY 22.5% · About the same as KY
3 in 10Prestonsburg adults have been diagnosed with depression
30.3% · KY 26.7% · About the same as KY
1 in 5Prestonsburg adults are in frequent mental distress
19.8% · KY 17.4% · Worse than KY
The one neighbors can help with

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 4
Prestonsburg adults worry about having enough food
23.7% · KY 15.5%
Worse than KY
1 in 6
Prestonsburg adults worry about keeping their housing
15.9% · KY 11.7%
Worse than KY
1 in 8
Prestonsburg adults were threatened with a utility shut-off
12.7% · KY 8.8%
Worse than KY
1 in 8
Prestonsburg adults lack reliable transportation
12.3% · KY 8.8%
Worse than KY

28.1% of Prestonsburg adults receive SNAP (food stamps), compared with 14.5% across Kentucky.

Around town

Prestonsburg and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
PrestonsburgD−40.8%17.3%23.6%CDC place
Dwale————

Dwale: 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.

46.6%

of Prestonsburg adults live with a disability (Kentucky 37.4%). Walking or climbing stairs is the most common.

Walking or climbing stairs24.7%
Thinking or memory21.5%
Hearing12.9%
Errands alone14%
Vision8.9%
Dressing or bathing7%
Kentucky

Every CDC estimate for Prestonsburg

Share of adults, 39 measures, with CDC’s likely range.

On the 31 measures below that have a better and a worse direction, Prestonsburg is better than Kentucky on 1 and worse on 19; on the rest, the Kentucky figure falls inside Prestonsburg’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…PrestonsburgKYU.S.vs KY
Overall health
Fair or poor health30.8%27.9–33.722.4%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)20.3%18.2–22.515.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)19.8%17.9–21.817.4%15.9%Worse
Conditions
Obesity40.8%33.8–48.338.3%32.9%About the same
Diabetes17.3%15.2–19.613.7%12%Worse
High blood pressure45.6%41–50.338.8%34.4%Worse
High cholesterol (adults screened in 5 years)40.6%36.1–45.436.8%37.1%About the same
Arthritis39.8%36.1–43.732.2%25.3%Worse
Asthma12.2%10.7–13.811.1%9.9%About the same
Cancer, other than skin cancer9.8%8.9–118.7%7.9%Worse
Coronary heart disease11.1%10–12.18.2%6.4%Worse
COPD15.1%13.6–16.610.2%6.3%Worse
Stroke5.8%5.3–6.34%3.4%Worse
Lost all teeth (ages 65+)32.4%27.5–37.718.9%12.3%Worse
Habits
Smoke cigarettes23.6%20.9–26.418.5%11.8%Worse
No exercise outside work35.7%31.1–40.626.9%24.7%Worse
Binge drinking11.3%9–13.914.2%15.4%Better
Sleep under 7 hours45.3%38.7–52.239.6%36%About the same
Checkups and coverage
No health insurance (ages 18–64)9%7–11.25.4%11%Worse
Checkup in the past year80.8%77.3–83.978.7%77.4%About the same
Dentist visit in the past year47.7%43.8–51.658.1%63.2%Worse
Cholesterol check in 5 years81.8%79.1–84.684.2%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)82.5%79.7–85.181.3%76.5%About the same
Colorectal cancer screening (ages 45–75)61.2%56–6665.8%65.5%About the same
Mammogram in 2 years (women 50–74)68%59.2–75.872.7%76.4%About the same
Mind and connection
Ever told they have depression30.3%26.4–34.626.7%20.6%About the same
Lack social and emotional support23%19.7–26.522.5%23.6%About the same
Everyday needs
Worried about having enough food23.7%21.3–26.215.5%15%Worse
Worried about keeping housing15.9%14.1–17.811.7%12%Worse
Threatened with a utility shut-off12.7%11.1–14.38.8%7.6%Worse
Lack reliable transportation12.3%11.1–13.58.8%7.9%Worse
Received SNAP (food stamps)28.1%25.4–31.114.5%11.6%Higher
Disability
Any disability46.6%42.2–51.237.4%30.1%Higher
Difficulty walking or climbing stairs24.7%22.3–27.117.3%13.6%Higher
Difficulty concentrating or remembering21.5%19.4–23.717.3%13.9%Higher
Hearing difficulty12.9%11.6–14.29%6.7%Higher
Vision difficulty8.9%8.2–9.76%5.4%Higher
Difficulty doing errands alone14%12.7–15.49.4%7.9%Higher
Difficulty dressing or bathing7%6.5–7.64.4%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 Kentucky figure falls inside that range.

Questions about health in Prestonsburg

Is Prestonsburg a healthy place to live?

On seven CDC estimates for adults, Prestonsburg is healthier than 4% of U.S. towns: D− for health, #135 of 141 in Kentucky. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Prestonsburg?

CDC estimates 40.8% of adults have obesity, likely between 33.8% and 48.3%, against 38.3% across Kentucky and 32.9% nationally.

What hospital is closest to Prestonsburg?

Highlands ARH Regional Medical Center in Prestonsburg, 3.5 miles in a straight line from Prestonsburg’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Prestonsburg have no health insurance?

CDC estimates 9% of adults ages 18–64 have no health insurance (likely 7–11.2%), against 5.4% across Kentucky.

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

Neighbors talk health

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

Town Square →
Ask your neighbors

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