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2016-07-20 20 05 12 View northwest up the Patuxent River from the Governor Thomas Johnson Bridge (Maryland State Route 4) along the border of Solomons, Calvert County, Maryland and California, St. Mary's County, Maryland just before sunsetPhoto: Famartin · CC BY-SA 4.0
B+Health Grade
Health in California · CDC PLACES 2025

Among U.S. towns with similar household incomes, California is healthier than 40%

California differs from Maryland on 8 of 32 measures CDC estimates: 7 better, 1 worse.

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

What stands out · In brief

What stands out about health in California

Against towns with similar incomes, California’s lead shrinks

California is healthier than 73% of U.S. towns, but 40% of the 5,766 towns with similar household incomes ($90K–$150K). Part of its edge is what towns with its incomes tend to have. Health Grade ↓

Binge drinking is the habit California doesn’t win on

17.4% of adults binge drink, vs 14.1% across Maryland. Smoking and exercise are about at the state’s level. Habits ↓

California is short on primary care and mental health care

California’s county is a federal shortage area for primary care and mental health care, meaning too few providers for the people who live there. Getting care ↓

Stroke and heart disease are less common in California

California runs below Maryland on stroke (2.7% vs 3.4%) and heart disease (4.8% vs 5.8%). Conditions ↓

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 Maryland figure falls outside California’s likely range; at the ends of CDC’s ranges the grade could be anywhere from B− to A.

Health Grade

What’s behind California’s grade

On seven CDC estimates for adults, California is healthier than 72% of U.S. towns, #134 of 261 in Maryland. Physical distress holds the grade up (fewer adults with frequent physical distress than 88% of U.S. towns); obesity pulls it down (better than 41%).

A−Self-rated health16.2% · MD 17.9% · U.S. 19.4%
APhysical distress11.3% · MD 12% · U.S. 13%
BMental distress16.6% · MD 15% · U.S. 15.9%
C+Obesity37.4% · MD 35.1% · U.S. 32.9%
B+Diabetes10.7% · MD 12.5% · U.S. 12%
B+Smoking12.1% smoke · MD 10.9% · U.S. 11.8%
B+Exercise21.9% · MD 23.6% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 72%
Less healthyHealthier
Maryland towns we grade (261)Healthier than 49%
U.S. towns with similar incomes, $90K–$150K (5,766)Healthier than 40%

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). California’s median household income is $119,855; among the 5,766 U.S. towns within 25% of that ($90K–$150K), it’s healthier than 40%, less than its income alone would suggest.

Most Maryland towns score higher on these estimates than towns elsewhere, so within the state California is healthier than 49% of graded towns, against 72% nationally.

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

How TownRatings grades health →

Habits

Everyday habits, side by side with Maryland

Share of adults, with the Maryland figure marked.

Get no exercise 21.9%MD 23.6%
Sleep under 7 hours 39.7%MD 37.7%
Binge drink 17.4%MD 14.1%
Smoke cigarettes 12.1%MD 10.9%
0%10%20%30%40%
California, betterCalifornia, worseAbout the sameMaryland
Where California gets moving

7.1 miles of trails across 4 parks and preserves

Parks & trails →
Getting care

Care in and near California

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

HNearest ERMedstar Saint Mary's HospitalLeonardtown · 7.8 miDirections →
★Best rated nearbyCalverthealth Medical Center★★★★★ · 19.0 miDirections →
+Low-cost careGreater Baden Medical ServicesLexington Park · 2.6 mi · sliding-scale feesDirections →
2.6 mi
Greater Baden Medical Services
5 sites · nearest in Lexington Park
Sliding-scale fees
Directions to nearest
7.8 mi
Medstar Saint Mary's Hospital
Leonardtown · ★★★★★
ER
19 mi
Calverthealth Medical Center
Prince Frederick · ★★★★★
ER
21.9 mi
CVHS Westmoreland
Montross · community health center
Sliding-scale fees
30.4 mi
University of MD Charles Regional Medical Center
La Plata · ★★★★★
ER
34.5 mi
VCU Health Tappahannock Hospital
Tappahannock · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers California itself
✓ Dental careCalifornia is not a shortage area
✓ Mental healthNo HRSA shortage area covers California 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 California; ≈ 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).

Chronic conditions

Out of every 100 California adults…

California runs below MD on 5 of 12 conditions. Tap one to see it as people.

3 of every 100 California adults have had a stroke
Maryland: 3 in 100 · better · likely 2.4–2.9%
Better than MDWorseAbout the sameMaryland
Checkups & screenings

Keeping up with care

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

77%Yearly checkupMD 79%
64%Dentist visitMD 64%
88%Cholesterol checkMD 90%
69%Colon screeningMD 68%
76%MammogramMD 81%
74%Taking BP medsMD 77%
1 in 14
working-age adults has no health insurance
California 7.4% · Maryland 1 in 11 (8.7%)
Mind & connection

How California adults are doing

About the same as Maryland on each measure.

4 in 10California adults feel lonely
36.4% · MD 34.3% · About the same as MD
1 in 4California adults lack social or emotional support
24.4% · MD 24.2% · About the same as MD
1 in 5California adults have been diagnosed with depression
20.9% · MD 19.4% · About the same as MD
1 in 6California adults are in frequent mental distress
16.6% · MD 15% · About the same as MD
The one neighbors can help with

4 in 10 California 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
California adults worry about having enough food
12.5% · MD 15.4%
Better than MD
1 in 8
California adults worry about keeping their housing
12.1% · MD 13.5%
About the same as MD
1 in 13
California adults were threatened with a utility shut-off
7.5% · MD 8.4%
About the same as MD
1 in 14
California adults lack reliable transportation
7.1% · MD 7.8%
About the same as MD

9.9% of California adults receive SNAP (food stamps), compared with 11.8% across Maryland.

Around town

California and the towns around it

California’s Health Grade ranks 2nd of 3 graded towns around it.

Health next door

TownHealthObesityDiabetesSmokingFigures from
CaliforniaB+37.4%10.7%12.1%CDC place
WildewoodA−35.8%9.4%11.7%CDC place
Lexington ParkB40.1%11.1%13.4%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

24.5%

of California adults live with a disability (Maryland 26.4%). Thinking or memory is the most common.

Walking or climbing stairs10.2%
Thinking or memory12.7%
Hearing4.9%
Errands alone6.3%
Vision3.7%
Dressing or bathing2.9%
Maryland

Every CDC estimate for California

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

On the 32 measures below that have a better and a worse direction, California is better than Maryland on 7 and worse on 1; on the rest, the Maryland figure falls inside California’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…CaliforniaMDU.S.vs MD
Overall health
Fair or poor health16.2%14.4–18.117.9%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)11.3%10–12.512%13%About the same
Frequent mental distress (mental health not good 14+ days a month)16.6%14.9–18.415%15.9%About the same
Conditions
Obesity37.4%33–41.835.1%32.9%About the same
Diabetes10.7%9.5–1212.5%12%Better
High blood pressure32.8%30–35.636.8%34.4%Better
High cholesterol (adults screened in 5 years)35.3%32.4–38.438.1%37.1%About the same
Arthritis24.9%22.7–27.225.8%25.3%About the same
Asthma10.8%9.6–1210.6%9.9%About the same
Cancer, other than skin cancer6.9%6.3–7.67.6%7.9%About the same
Coronary heart disease4.8%4.4–5.35.8%6.4%Better
COPD5.1%4.6–5.75.9%6.3%Better
Stroke2.7%2.4–2.93.4%3.4%Better
Lost all teeth (ages 65+)8.4%6.9–10.29.9%12.3%About the same
Habits
Smoke cigarettes12.1%10.5–13.810.9%11.8%About the same
No exercise outside work21.9%19.1–24.823.6%24.7%About the same
Binge drinking17.4%14.9–20.114.1%15.4%Worse
Sleep under 7 hours39.7%35.6–44.137.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.4%6.4–8.68.7%11%Better
Checkup in the past year76.9%73.8–79.779.2%77.4%About the same
Dentist visit in the past year64.4%61.6–67.364.4%63.2%About the same
Cholesterol check in 5 years88.4%86.9–89.889.6%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)74.1%71.4–76.676.6%76.5%About the same
Colorectal cancer screening (ages 45–75)68.9%65.1–72.668.2%65.5%About the same
Mammogram in 2 years (women 50–74)76.2%70.7–81.480.7%76.4%About the same
Mind and connection
Ever told they have depression20.9%18.4–23.619.4%20.6%About the same
Feel lonely36.4%32.3–40.834.3%32.5%About the same
Lack social and emotional support24.4%21.3–27.824.2%23.6%About the same
Everyday needs
Worried about having enough food12.5%10.7–14.415.4%15%Better
Worried about keeping housing12.1%10.4–13.913.5%12%About the same
Threatened with a utility shut-off7.5%6.5–8.58.4%7.6%About the same
Lack reliable transportation7.1%6.2–7.97.8%7.9%About the same
Received SNAP (food stamps)9.9%8.5–11.411.8%11.6%Lower
Disability
Any disability24.5%21.8–27.326.4%30.1%About the same
Difficulty walking or climbing stairs10.2%9–11.512.4%13.6%Lower
Difficulty concentrating or remembering12.7%11.4–14.112.2%13.9%About the same
Hearing difficulty4.9%4.4–5.55.6%6.7%Lower
Vision difficulty3.7%3.4–4.14.5%5.4%Lower
Difficulty doing errands alone6.3%5.7–77%7.9%About the same
Difficulty dressing or bathing2.9%2.6–3.23.5%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 Maryland figure falls inside that range.

Questions about health in California

Is California a healthy place to live?

On seven CDC estimates for adults, California is healthier than 72% of U.S. towns: B+ for health, #134 of 261 in Maryland. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in California?

CDC estimates 37.4% of adults have obesity, likely between 33% and 41.8%, against 35.1% across Maryland and 32.9% nationally.

What hospital is closest to California?

Medstar Saint Mary's Hospital in Leonardtown, 7.8 miles in a straight line from California’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in California have no health insurance?

CDC estimates 7.4% of adults ages 18–64 have no health insurance (likely 6.4–8.6%), against 8.7% across Maryland.

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 California 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 California.

Town Square →
Ask your neighbors

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