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Charleston-Main-N-moPhoto: Brian Stansberry · CC BY 4.0
D−Health Grade
Health in Charleston · CDC PLACES 2025

On CDC estimates, Charleston is healthier than 3% of U.S. towns

Charleston differs from Missouri on 21 of 32 measures CDC estimates: 1 better, 20 worse.

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

What stands out · In brief

What stands out about health in Charleston

Dental care lags in Charleston

42.5% of adults saw a dentist this year, vs 60.4% across Missouri. Among those 65 and older, 29.5% have lost all their teeth (Missouri 15.8%). Checkups ↓

Making ends meet is harder in Charleston

3 in 10 adults worry about having enough food (28%), about twice the Missouri rate. Utility shut-off threats (18% vs 9%) and housing insecurity (22.7% vs 12.1%) are higher too. 26.1% of adults receive SNAP, vs 10.8% statewide. Everyday needs ↓

Charleston is in the bottom 3% of U.S. towns for health

On the seven CDC estimates behind the Health Grade, Charleston is healthier than only 3% of U.S. towns. It earns a D on six of the seven. Health Grade ↓

Charleston is healthier than its income would predict

Against all U.S. towns, Charleston is healthier than 3%. Against the 1,086 towns with similar household incomes ($25K–$42K), it’s healthier than 28%. 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 Missouri figure falls outside Charleston’s likely range.

Health Grade

What’s behind Charleston’s grade

On seven CDC estimates for adults, Charleston is healthier than 3% of U.S. towns, #230 of 247 in Missouri. Mental distress holds the grade up (fewer adults with frequent mental distress than 17% of U.S. towns); obesity pulls it down (near the bottom of U.S. towns).

D−Self-rated health31.4% · MO 20.5% · U.S. 19.4%
DPhysical distress17.7% · MO 14.2% · U.S. 13%
C−Mental distress19.1% · MO 17.5% · U.S. 15.9%
D−Obesity50.6% · MO 36.6% · U.S. 32.9%
D−Diabetes18.1% · MO 12.1% · U.S. 12%
D−Smoking23.3% smoke · MO 16% · U.S. 11.8%
D−Exercise41.6% · MO 28.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 3%
Less healthyHealthier
Missouri towns we grade (247)Healthier than 7%
U.S. towns with similar incomes, $25K–$42K (1,086)Healthier than 28%

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). Charleston’s median household income is $33,952; among the 1,086 U.S. towns within 25% of that ($25K–$42K), it’s healthier than 28%, so it sits below most towns with similar incomes, too.

Where Charleston compares well: cancer, other than skin cancer, 6.9% (U.S. 7.9%).

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

How TownRatings grades health →

★ What stands out · Checkups & screenings

Keeping up with care

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

80%Yearly checkupMO 78%
43%Dentist visitMO 60%
82%Cholesterol checkMO 85%
60%Colon screeningMO 64%
70%MammogramMO 75%
78%Taking BP medsMO 77%
1 in 8
working-age adults has no health insurance
Charleston 13.2% · Missouri 1 in 11 (8.7%)
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

3 in 10
Charleston adults worry about having enough food
28% · MO 13.7%
Worse than MO
1 in 4
Charleston adults worry about keeping their housing
22.7% · MO 12.1%
Worse than MO
1 in 6
Charleston adults were threatened with a utility shut-off
18% · MO 9%
Worse than MO
1 in 7
Charleston adults lack reliable transportation
15.2% · MO 8.4%
Worse than MO

26.1% of Charleston adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Chronic conditions

Out of every 100 Charleston adults…

Charleston runs below MO on 1 of 12 conditions and above it on 7. Tap one to see it as people.

5 of every 100 Charleston adults have had a stroke
Missouri: 4 in 100 · worse · likely 4.8–5.9%
Better than MOWorseAbout the sameMissouri
Getting care

Care in and near Charleston

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

HNearest ERMissouri Delta Medical CenterSikeston · 14 miDirections →
★Best rated nearbyMissouri Delta Medical Center★★★★★ · 14.0 miDirections →
+Low-cost careSoutheast Missouri Health NetworkEast Prairie · 9.6 mi · sliding-scale feesDirections →
9.6 mi
Southeast Missouri Health Network
4 sites · nearest in East Prairie
Sliding-scale fees
Directions to nearest
11.4 mi
Community Health & Emergency Services
2 sites · nearest in Cairo
Sliding-scale fees
Directions to nearest
14 mi
Missouri Delta Medical Center
Sikeston · ★★★★★
ER
29.6 mi
Mercy Hospital Southeast
Cape Girardeau · ★★★★★
ER
29.7 mi
Saint Francis Medical Center
Cape Girardeau · ★★★★★
ER
36 mi
Mercy Hospital Stoddard
Dexter · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Charleston itself
✓ Dental careNo HRSA shortage area covers Charleston itself
✓ Mental healthNo HRSA shortage area covers Charleston 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 Charleston; ≈ 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 Missouri

Share of adults, with the Missouri figure marked.

Get no exercise 41.6%MO 28.8%
Sleep under 7 hours 47.6%MO 36.5%
Binge drink 13.6%MO 16.3%
Smoke cigarettes 23.3%MO 16%
0%10%20%30%40%50%
Charleston, betterCharleston, worseAbout the sameMissouri
Where Charleston gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Mind & connection

How Charleston adults are doing

On 1 of 4 measures, Charleston runs above Missouri.

4 in 10Charleston adults feel lonely
36% · MO 31.7% · About the same as MO
1 in 4Charleston adults lack social or emotional support
27.2% · MO 20.1% · Worse than MO
1 in 5Charleston adults have been diagnosed with depression
21.6% · MO 24.3% · About the same as MO
1 in 5Charleston adults are in frequent mental distress
19.1% · MO 17.5% · About the same as MO
The one neighbors can help with

4 in 10 Charleston 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

Charleston and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
CharlestonD−50.6%18.1%23.3%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

45%

of Charleston adults live with a disability (Missouri 36.2%). Walking or climbing stairs is the most common.

Walking or climbing stairs22.7%
Thinking or memory21.3%
Hearing9%
Errands alone13%
Vision8.7%
Dressing or bathing6.8%
Missouri

Every CDC estimate for Charleston

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

On the 32 measures below that have a better and a worse direction, Charleston is better than Missouri on 1 and worse on 20; on the rest, the Missouri figure falls inside Charleston’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…CharlestonMOU.S.vs MO
Overall health
Fair or poor health31.4%27.6–35.220.5%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)17.7%15.6–19.914.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)19.1%17–21.517.5%15.9%About the same
Conditions
Obesity50.6%43–58.436.6%32.9%Worse
Diabetes18.1%15.9–20.412.1%12%Worse
High blood pressure46.9%42.6–51.236.5%34.4%Worse
High cholesterol (adults screened in 5 years)37.6%33.5–41.937.5%37.1%About the same
Arthritis32.1%28.7–35.528.8%25.3%About the same
Asthma11.4%10.1–12.810.6%9.9%About the same
Cancer, other than skin cancer6.9%6.2–7.68.6%7.9%Better
Coronary heart disease8.8%7.8–9.86.8%6.4%Worse
COPD11.1%9.6–12.58%6.3%Worse
Stroke5.4%4.8–5.93.6%3.4%Worse
Lost all teeth (ages 65+)29.5%24.9–34.215.8%12.3%Worse
Habits
Smoke cigarettes23.3%20–26.616%11.8%Worse
No exercise outside work41.6%36.4–47.228.8%24.7%Worse
Binge drinking13.6%11–16.316.3%15.4%About the same
Sleep under 7 hours47.6%40.3–54.536.5%36%Worse
Checkups and coverage
No health insurance (ages 18–64)13.2%10.8–15.88.7%11%Worse
Checkup in the past year79.6%76–82.878.4%77.4%About the same
Dentist visit in the past year42.5%38.4–46.260.4%63.2%Worse
Cholesterol check in 5 years81.7%79.2–8484.5%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)78.1%75.3–80.777.2%76.5%About the same
Colorectal cancer screening (ages 45–75)59.9%54.2–6564%65.5%About the same
Mammogram in 2 years (women 50–74)70.4%61.6–7874.7%76.4%About the same
Mind and connection
Ever told they have depression21.6%18.4–2524.3%20.6%About the same
Feel lonely36%30.7–41.731.7%32.5%About the same
Lack social and emotional support27.2%23.3–31.420.1%23.6%Worse
Everyday needs
Worried about having enough food28%24.1–31.913.7%15%Worse
Worried about keeping housing22.7%19.7–25.812.1%12%Worse
Threatened with a utility shut-off18%15.8–20.39%7.6%Worse
Lack reliable transportation15.2%13.3–17.28.4%7.9%Worse
Received SNAP (food stamps)26.1%22.6–29.710.8%11.6%Higher
Disability
Any disability45%40–5036.2%30.1%Higher
Difficulty walking or climbing stairs22.7%20–25.515.8%13.6%Higher
Difficulty concentrating or remembering21.3%18.8–23.917.2%13.9%Higher
Hearing difficulty9%8–10.18.3%6.7%About the same
Vision difficulty8.7%7.7–9.75.1%5.4%Higher
Difficulty doing errands alone13%11.4–14.69.2%7.9%Higher
Difficulty dressing or bathing6.8%6–7.63.9%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 Charleston

Is Charleston a healthy place to live?

On seven CDC estimates for adults, Charleston is healthier than 3% of U.S. towns: D− for health, #230 of 247 in Missouri. Among U.S. towns with similar household incomes it’s healthier than 28%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Charleston?

CDC estimates 50.6% of adults have obesity, likely between 43% and 58.4%, against 36.6% across Missouri and 32.9% nationally.

What hospital is closest to Charleston?

Missouri Delta Medical Center in Sikeston, 14.0 miles in a straight line from Charleston’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Charleston have no health insurance?

CDC estimates 13.2% of adults ages 18–64 have no health insurance (likely 10.8–15.8%), 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 Charleston more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to D.

Neighbors talk health

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

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.