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DHealth Grade
Health in Advance · CDC PLACES 2025

On CDC estimates, Advance is healthier than 14% of U.S. towns

Advance trails Missouri on 10 of 32 measures CDC estimates, and leads on none.

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

What stands out · In brief

What stands out about health in Advance

COPD, heart disease and stroke run high in Advance

1 in 9 adults have COPD (11.1%), vs 8% across Missouri. 1 in 12 adults have heart disease (8.5%), vs 6.8% across Missouri. Stroke is also above the state: 4.5%, vs 3.6% across Missouri. In all, Advance runs above Missouri on four of 11 chronic conditions. Conditions ↓

More Advance adults get no exercise

1 in 3 adults get no exercise outside work (34.4%), vs 28.8% across Missouri. Habits ↓

The nearest ER is 21 miles from Advance

The closest emergency room is Mercy Hospital Stoddard in Dexter, 20.7 miles away in a straight line. For everyday care, Cross Trails Medical Center is closer (0 mi) and charges on a sliding scale. Getting care ↓

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 Missouri figure falls outside Advance’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to C+.

Health Grade

What’s behind Advance’s grade

On seven CDC estimates for adults, Advance is healthier than 14% of U.S. towns. Obesity holds the grade up (fewer adults with obesity than 48% of U.S. towns); smoking pulls it down (better than 8%).

DSelf-rated health26% · MO 20.5% · U.S. 19.4%
DPhysical distress17.1% · MO 14.2% · U.S. 13%
DMental distress19.7% · MO 17.5% · U.S. 15.9%
B−Obesity36.4% · MO 36.6% · U.S. 32.9%
CDiabetes13.2% · MO 12.1% · U.S. 12%
DSmoking20.4% smoke · MO 16% · U.S. 11.8%
DExercise34.4% · MO 28.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 14%
Less healthyHealthier
U.S. towns with similar incomes, $45K–$75K (8,828)Healthier than 20%

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). Advance’s median household income is $59,688; among the 8,828 U.S. towns within 25% of that ($45K–$75K), it’s healthier than 20%, so it sits below most towns with similar incomes, too.

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

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Advance adults…

Advance runs above MO on 4 of 12 conditions. Tap one to see it as people.

11 of every 100 Advance adults have COPD
Missouri: 8 in 100 · worse · likely 9.2–13%
Better than MOWorseAbout the sameMissouri
Habits

Everyday habits, side by side with Missouri

Share of adults, with the Missouri figure marked.

Get no exercise 34.4%MO 28.8%
Sleep under 7 hours 39.4%MO 36.5%
Binge drink 15.4%MO 16.3%
Smoke cigarettes 20.4%MO 16%
0%10%20%30%40%
Advance, betterAdvance, worseAbout the sameMissouri
Where Advance gets moving

0.7 miles of trails across 1 park or preserve

Parks & trails →
Getting care

Care in and near Advance

1 community health center in Advance, plus the nearest just outside it.

HNearest ERMercy Hospital StoddardDexter · 20.7 miDirections →
+Low-cost careCross Trails Medical CenterAdvance · 0 mi · sliding-scale feesDirections →
0 mi
Cross Trails Medical Center
3 sites · nearest in Advance
Sliding-scale feesIn Advance
Directions to nearest
19.9 mi
Southeast Missouri Health Network
4 sites · nearest in Benton
Sliding-scale fees
Directions to nearest
20.7 mi
Mercy Hospital Stoddard
Dexter · ★★★★★
ER
23.2 mi
Saint Francis Medical Center
Cape Girardeau · ★★★★★
ER
23.3 mi
Missouri Delta Medical Center
Sikeston · ★★★★★
ER
24.9 mi
Mercy Hospital Southeast
Cape Girardeau · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Advance itself
✓ Dental careNo HRSA shortage area covers Advance itself
✓ Mental healthNo HRSA shortage area covers Advance 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 Advance; ≈ 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 Advance adults getting routine care. The full ring is 100%; the dark tick marks Missouri.

76%Yearly checkupMO 78%
51%Dentist visitMO 60%
81%Cholesterol checkMO 85%
63%Colon screeningMO 64%
68%MammogramMO 75%
77%Taking BP medsMO 77%
1 in 9
working-age adults has no health insurance
Advance 10.8% · Missouri 1 in 11 (8.7%)
Mind & connection

How Advance adults are doing

About the same as Missouri on each measure.

1 in 3Advance adults feel lonely
33.8% · MO 31.7% · About the same as MO
1 in 5Advance adults lack social or emotional support
19.9% · MO 20.1% · About the same as MO
1 in 4Advance adults have been diagnosed with depression
27.1% · MO 24.3% · About the same as MO
1 in 5Advance adults are in frequent mental distress
19.7% · MO 17.5% · About the same as MO
The one neighbors can help with

1 in 3 Advance 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 6
Advance adults worry about having enough food
16.7% · MO 13.7%
About the same as MO
1 in 8
Advance adults worry about keeping their housing
12.7% · MO 12.1%
About the same as MO
1 in 11
Advance adults were threatened with a utility shut-off
9.5% · MO 9%
About the same as MO
1 in 10
Advance adults lack reliable transportation
9.8% · MO 8.4%
About the same as MO

14% of Advance adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Around town

Advance and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
AdvanceD36.4%13.2%20.4%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

44.3%

of Advance adults live with a disability (Missouri 36.2%). Thinking or memory is the most common.

Walking or climbing stairs20.1%
Thinking or memory21.2%
Hearing10.8%
Errands alone12.2%
Vision6.5%
Dressing or bathing4.9%
Missouri

Every CDC estimate for Advance

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

On the 32 measures below that have a better and a worse direction, Advance is better than Missouri on 0 and worse on 10; on the rest, the Missouri figure falls inside Advance’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…AdvanceMOU.S.vs MO
Overall health
Fair or poor health26%22.1–30.220.5%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)17.1%14.8–19.514.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)19.7%17.3–22.317.5%15.9%About the same
Conditions
Obesity36.4%30.4–42.936.6%32.9%About the same
Diabetes13.2%11.5–15.112.1%12%About the same
High blood pressure38.3%34.7–42.136.5%34.4%About the same
High cholesterol (adults screened in 5 years)37.7%33.9–41.737.5%37.1%About the same
Arthritis33.7%30.6–3728.8%25.3%Worse
Asthma11.1%9.8–12.610.6%9.9%About the same
Cancer, other than skin cancer9.6%8.6–10.68.6%7.9%About the same
Coronary heart disease8.5%7.5–9.66.8%6.4%Worse
COPD11.1%9.2–138%6.3%Worse
Stroke4.5%3.9–5.13.6%3.4%Worse
Lost all teeth (ages 65+)17.3%14.4–20.515.8%12.3%About the same
Habits
Smoke cigarettes20.4%17–23.916%11.8%Worse
No exercise outside work34.4%29.2–40.128.8%24.7%Worse
Binge drinking15.4%12.8–18.416.3%15.4%About the same
Sleep under 7 hours39.4%33.5–45.536.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)10.8%7.9–14.28.7%11%About the same
Checkup in the past year76.4%72.7–8078.4%77.4%About the same
Dentist visit in the past year51%47.4–54.760.4%63.2%Worse
Cholesterol check in 5 years81.2%78.3–84.384.5%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)77.1%74.5–79.677.2%76.5%About the same
Colorectal cancer screening (ages 45–75)62.7%57.8–67.464%65.5%About the same
Mammogram in 2 years (women 50–74)68.4%60–7674.7%76.4%About the same
Mind and connection
Ever told they have depression27.1%23.6–3124.3%20.6%About the same
Feel lonely33.8%28.7–38.831.7%32.5%About the same
Lack social and emotional support19.9%16.6–23.520.1%23.6%About the same
Everyday needs
Worried about having enough food16.7%13.2–20.713.7%15%About the same
Worried about keeping housing12.7%10.2–15.412.1%12%About the same
Threatened with a utility shut-off9.5%7.9–11.39%7.6%About the same
Lack reliable transportation9.8%8.1–11.78.4%7.9%About the same
Received SNAP (food stamps)14%10.9–17.610.8%11.6%Higher
Disability
Any disability44.3%39.2–49.736.2%30.1%Higher
Difficulty walking or climbing stairs20.1%17.2–23.315.8%13.6%Higher
Difficulty concentrating or remembering21.2%18.1–24.317.2%13.9%Higher
Hearing difficulty10.8%9.6–12.28.3%6.7%Higher
Vision difficulty6.5%5.5–7.65.1%5.4%Higher
Difficulty doing errands alone12.2%10.3–14.29.2%7.9%Higher
Difficulty dressing or bathing4.9%4.1–5.83.9%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 Missouri figure falls inside that range.

Questions about health in Advance

Is Advance a healthy place to live?

On seven CDC estimates for adults, Advance is healthier than 14% of U.S. towns: D for health. Among U.S. towns with similar household incomes it’s healthier than 20%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Advance?

CDC estimates 36.4% of adults have obesity, likely between 30.4% and 42.9%, against 36.6% across Missouri and 32.9% nationally.

What hospital is closest to Advance?

Mercy Hospital Stoddard in Dexter, 20.7 miles in a straight line from Advance’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Advance have no health insurance?

CDC estimates 10.8% of adults ages 18–64 have no health insurance (likely 7.9–14.2%), against 8.7% across Missouri.

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 Advance 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 Advance.

Town Square →
Ask your neighbors

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