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St louis dwntownPhoto: Smgross at English Wikipedia · Public domain
DHealth Grade
Health in St. Louis · CDC PLACES 2025

On CDC estimates, St. Louis is healthier than 12% of U.S. towns

St. Louis differs from Michigan on 18 of 32 measures CDC estimates: 2 better, 16 worse.

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

What stands out · In brief

What stands out about health in St. Louis

Making ends meet is harder in St. Louis

1 in 4 adults worry about having enough food (27.2%), vs 15.4% across Michigan. Utility shut-off threats (15.9% vs 8.7%) and housing insecurity (20.5% vs 11.9%) are higher too. 27.9% of adults receive SNAP, vs 14.3% statewide. Everyday needs ↓

Dental care lags in St. Louis

54.4% of adults saw a dentist this year, vs 68% across Michigan. Among those 65 and older, 16.9% have lost all their teeth (Michigan 10.2%). Checkups ↓

Smoking is more common in St. Louis

1 in 4 adults smoke cigarettes (22.8%), vs 14.6% across Michigan. Habits ↓

St. Louis is healthier than its income would predict

Against all U.S. towns, St. Louis is healthier than 12%. Against the 6,175 towns with similar household incomes ($38K–$64K), it’s healthier than 27%. 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 Michigan figure falls outside St. Louis’ likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to C+.

Health Grade

What’s behind St. Louis’ grade

On seven CDC estimates for adults, St. Louis is healthier than 12% of U.S. towns, #652 of 701 in Michigan. Diabetes holds the grade up (fewer adults with diabetes than 40% of U.S. towns); smoking pulls it down (better than 3%).

DSelf-rated health26.1% · MI 19.4% · U.S. 19.4%
CPhysical distress15.7% · MI 14% · U.S. 13%
DMental distress20.6% · MI 17.6% · U.S. 15.9%
DObesity42.6% · MI 36.2% · U.S. 32.9%
C+Diabetes12.7% · MI 11.9% · U.S. 12%
D−Smoking22.8% smoke · MI 14.6% · U.S. 11.8%
C−Exercise31.1% · MI 24.9% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 12%
Less healthyHealthier
Michigan towns we grade (701)Healthier than 7%
U.S. towns with similar incomes, $38K–$64K (6,175)Healthier than 27%

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). St. Louis’ median household income is $51,167; among the 6,175 U.S. towns within 25% of that ($38K–$64K), it’s healthier than 27%, so it sits below most towns with similar incomes, too.

Where St. Louis compares well: cancer, other than skin cancer, 6.2% (U.S. 7.9%).

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

How TownRatings grades health →

★ What stands out · 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
St. Louis adults worry about having enough food
27.2% · MI 15.4%
Worse than MI
1 in 5
St. Louis adults worry about keeping their housing
20.5% · MI 11.9%
Worse than MI
1 in 6
St. Louis adults were threatened with a utility shut-off
15.9% · MI 8.7%
Worse than MI
1 in 7
St. Louis adults lack reliable transportation
14.1% · MI 8.3%
Worse than MI

27.9% of St. Louis adults receive SNAP (food stamps), compared with 14.3% across Michigan.

Checkups & screenings

Keeping up with care

Share of St. Louis adults getting routine care. The full ring is 100%; the dark tick marks Michigan.

75%Yearly checkupMI 80%
54%Dentist visitMI 68%
79%Cholesterol checkMI 87%
61%Colon screeningMI 69%
73%MammogramMI 77%
70%Taking BP medsMI 78%
1 in 8
working-age adults has no health insurance
St. Louis 12.6% · Michigan 1 in 14 (6.9%)
Habits

Everyday habits, side by side with Michigan

Share of adults, with the Michigan figure marked.

Get no exercise 31.1%MI 24.9%
Sleep under 7 hours 39.2%MI 34.7%
Binge drink 18%MI 15.9%
Smoke cigarettes 22.8%MI 14.6%
0%10%20%30%40%
St. Louis, betterSt. Louis, worseAbout the sameMichigan
Where St. Louis gets moving

1.1 miles of trails across 7 parks and preserves

Parks & trails →
Chronic conditions

Out of every 100 St. Louis adults…

St. Louis runs below MI on 2 of 12 conditions and above it on 1. Tap one to see it as people.

6 of every 100 St. Louis adults have had cancer
Michigan: 9 in 100 · better · likely 5.6–6.8%
Better than MIWorseAbout the sameMichigan
Why age matters in St. Louis

Only 12% of St. Louis residents are 65 or older, vs 19% across Michigan. Arthritis and cancer run low partly because the town is young.

Residents 65 and older

St. Louis12%
Michigan19%
Getting care

Care in and near St. Louis

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

HNearest ERMymichigan Medical Center AlmaAlma · 2.9 miDirections →
★Best rated nearbyMymichigan Medical Center Alma★★★★★ · 2.9 miDirections →
+Low-cost careIsabella Citizens for HealthMount Pleasant · 15.1 mi · sliding-scale feesDirections →
2.9 mi
Mymichigan Medical Center Alma
Alma · ★★★★★
ER
15.1 mi
Mclaren Central Michigan
Mount Pleasant · ★★★★★
ER
15.1 mi
Isabella Citizens for Health
3 sites · nearest in Mount Pleasant
Sliding-scale fees
Directions to nearest
19.8 mi
University of Michigan Health-Sparrow Carson
Carson City · ★★★★★
ER
≈24.2 mi
Mymichigan Medical Center Midland
Midland · ★★★★★
25.6 mi
Great Lakes Bay Health Centers
5 sites · nearest in Midland
Sliding-scale fees
Directions to nearest
✓ Primary careNo HRSA shortage area covers St. Louis itself
✓ Dental careNo HRSA shortage area covers St. Louis itself
✓ Mental healthNo HRSA shortage area covers St. Louis 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 St. Louis; ≈ 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).

Mind & connection

How St. Louis adults are doing

On 2 of 4 measures, St. Louis runs above Michigan.

4 in 10St. Louis adults feel lonely
36.9% · MI 32.4% · About the same as MI
3 in 10St. Louis adults lack social or emotional support
29.6% · MI 23.1% · Worse than MI
1 in 4St. Louis adults have been diagnosed with depression
24.8% · MI 25.7% · About the same as MI
1 in 5St. Louis adults are in frequent mental distress
20.6% · MI 17.6% · Worse than MI
The one neighbors can help with

4 in 10 St. Louis 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

St. Louis and the towns around it

St. Louis’s Health Grade ranks 4th of 4 graded towns around it.

Pine River Township: 37.2%Bethany Township: 39.5%Alma: 36%Seville Township: 38.3%Coe Township: 40.4%Arcada Township: 35.9%Emerson Township: 36.5%Jasper Township: 40.4%Wheeler Township: 35.4%St. Louis: 42.6%St. LouisPine River TownshipBethany TownshipAlmaMymichigan Medical Center Alma · Alma · 2.9 mi · 4★ MedicareH
Healthier than MINear MILess healthyHHospital+Health center
Obesity
#10 of 10 towns on this map, healthiest first
Alma36%
Pine River Township37.2%
Bethany Township39.5%
St. Louis42.6%
MI36.2%

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
St. LouisD42.6%12.7%22.8%CDC place
Pine River TownshipC37.2%11.8%16.8%ZIP codes
Bethany TownshipC−39.5%12.5%19.9%ZIP codes
AlmaC+36%11.3%15.5%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

36.9%

of St. Louis adults live with a disability (Michigan 31.1%). Thinking or memory is the most common.

Walking or climbing stairs15%
Thinking or memory19.3%
Hearing7.5%
Errands alone10.8%
Vision6.9%
Dressing or bathing5.1%
Michigan

Every CDC estimate for St. Louis

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

On the 32 measures below that have a better and a worse direction, St. Louis is better than Michigan on 2 and worse on 16; on the rest, the Michigan figure falls inside St. Louis’ likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…St. LouisMIU.S.vs MI
Overall health
Fair or poor health26.1%22.8–29.619.4%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)15.7%13.9–17.814%13%About the same
Frequent mental distress (mental health not good 14+ days a month)20.6%18.3–23.117.6%15.9%Worse
Conditions
Obesity42.6%34.8–50.936.2%32.9%About the same
Diabetes12.7%11–14.411.9%12%About the same
High blood pressure38.1%33.8–42.536.7%34.4%About the same
High cholesterol (adults screened in 5 years)32.3%28.5–36.335.4%37.1%About the same
Arthritis25.3%22.4–28.329.1%25.3%Better
Asthma10.9%9.6–12.211.5%9.9%About the same
Cancer, other than skin cancer6.2%5.6–6.88.9%7.9%Better
Coronary heart disease7.1%6.3–7.87%6.4%About the same
COPD9.3%8–10.58.1%6.3%About the same
Stroke3.8%3.4–4.23.7%3.4%About the same
Lost all teeth (ages 65+)16.9%13.6–20.510.2%12.3%Worse
Habits
Smoke cigarettes22.8%19.6–26.214.6%11.8%Worse
No exercise outside work31.1%26.2–36.124.9%24.7%Worse
Binge drinking18%14.8–21.515.9%15.4%About the same
Sleep under 7 hours39.2%32.5–46.534.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)12.6%10.3–15.56.9%11%Worse
Checkup in the past year75.4%71.5–79.280.3%77.4%Worse
Dentist visit in the past year54.4%50.5–58.368%63.2%Worse
Cholesterol check in 5 years79.4%76.7–82.187.4%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)69.9%66.4–7377.6%76.5%Worse
Colorectal cancer screening (ages 45–75)61.1%55.9–66.169%65.5%Worse
Mammogram in 2 years (women 50–74)73.1%65.1–80.476.9%76.4%About the same
Mind and connection
Ever told they have depression24.8%21.2–28.825.7%20.6%About the same
Feel lonely36.9%31.7–42.532.4%32.5%About the same
Lack social and emotional support29.6%25.5–33.923.1%23.6%Worse
Everyday needs
Worried about having enough food27.2%23.3–31.515.4%15%Worse
Worried about keeping housing20.5%17.7–23.611.9%12%Worse
Threatened with a utility shut-off15.9%13.9–18.38.7%7.6%Worse
Lack reliable transportation14.1%12.3–16.28.3%7.9%Worse
Received SNAP (food stamps)27.9%23.9–32.214.3%11.6%Higher
Disability
Any disability36.9%32.3–41.831.1%30.1%Higher
Difficulty walking or climbing stairs15%12.9–17.114%13.6%About the same
Difficulty concentrating or remembering19.3%17–21.814.3%13.9%Higher
Hearing difficulty7.5%6.6–8.47.3%6.7%About the same
Vision difficulty6.9%6.1–7.74.9%5.4%Higher
Difficulty doing errands alone10.8%9.5–12.28.6%7.9%Higher
Difficulty dressing or bathing5.1%4.5–5.83.8%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 Michigan figure falls inside that range.

Questions about health in St. Louis

Is St. Louis a healthy place to live?

On seven CDC estimates for adults, St. Louis is healthier than 12% of U.S. towns: D for health, #652 of 701 in Michigan. Among U.S. towns with similar household incomes it’s healthier than 27%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in St. Louis?

CDC estimates 42.6% of adults have obesity, likely between 34.8% and 50.9%, against 36.2% across Michigan and 32.9% nationally.

What hospital is closest to St. Louis?

Mymichigan Medical Center Alma in Alma, 2.9 miles in a straight line from St. Louis’ center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in St. Louis have no health insurance?

CDC estimates 12.6% of adults ages 18–64 have no health insurance (likely 10.3–15.5%), against 6.9% across Michigan.

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 St. Louis 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 St. Louis.

Town Square →
Ask your neighbors

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