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Dent County CourthouseDent County Courthouse · Photo: Kbh3rd · CC BY 4.0
DHealth Grade
Health in Salem · CDC PLACES 2025

On CDC estimates, Salem is healthier than 7% of U.S. towns

Salem trails Missouri on 15 of 32 measures CDC estimates, and leads on none.

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

What stands out · In brief

What stands out about health in Salem

COPD, heart disease and stroke run high in Salem

1 in 8 adults have COPD (12.2%), vs 8% across Missouri. 1 in 11 adults have heart disease (9.3%), vs 6.8% across Missouri. Stroke is also above the state: 4.9%, vs 3.6% across Missouri. In all, Salem runs above Missouri on six of 11 chronic conditions. Conditions ↓

Dental care lags in Salem

49% of adults saw a dentist this year, vs 60.4% across Missouri. Among those 65 and older, 25.6% have lost all their teeth (Missouri 15.8%). Checkups ↓

Salem is in the bottom 7% of U.S. towns for health

On the seven CDC estimates behind the Health Grade, Salem is healthier than only 7% of U.S. towns. It earns a D on five of the seven. Health Grade ↓

Salem is healthier than its income would predict

Against all U.S. towns, Salem is healthier than 7%. Against the 3,650 towns with similar household incomes ($33K–$55K), 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 Salem’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to C.

Health Grade

What’s behind Salem’s grade

On seven CDC estimates for adults, Salem is healthier than 7% of U.S. towns, #208 of 247 in Missouri. Obesity holds the grade up (fewer adults with obesity than 19% of U.S. towns); smoking pulls it down (better than 6%).

DSelf-rated health26.8% · MO 20.5% · U.S. 19.4%
DPhysical distress18.2% · MO 14.2% · U.S. 13%
DMental distress19.4% · MO 17.5% · U.S. 15.9%
C−Obesity40.3% · MO 36.6% · U.S. 32.9%
C−Diabetes14.8% · MO 12.1% · U.S. 12%
DSmoking21.1% smoke · MO 16% · U.S. 11.8%
DExercise35.8% · MO 28.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 7%
Less healthyHealthier
Missouri towns we grade (247)Healthier than 16%
U.S. towns with similar incomes, $33K–$55K (3,650)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). Salem’s median household income is $43,923; among the 3,650 U.S. towns within 25% of that ($33K–$55K), it’s healthier than 28%, 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, Salem could be anywhere from D− to C.

How TownRatings grades health →

Chronic conditions

Out of every 100 Salem adults…

Salem runs above MO on 8 of 12 conditions. Tap one to see it as people.

12 of every 100 Salem adults have COPD
Missouri: 8 in 100 · worse · likely 10.6–13.9%
Better than MOWorseAbout the sameMissouri
Checkups & screenings

Keeping up with care

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

79%Yearly checkupMO 78%
49%Dentist visitMO 60%
83%Cholesterol checkMO 85%
61%Colon screeningMO 64%
67%MammogramMO 75%
79%Taking BP medsMO 77%
1 in 10
working-age adults has no health insurance
Salem 10.5% · Missouri 1 in 11 (8.7%)
Getting care

Care in and near Salem

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

HNearest ERSalem Memorial District HospitalSalem · 3.4 miDirections →
★Best rated nearbySalem Memorial District Hospital★★★★★ · 3.4 miDirections →
+Low-cost careSouth Central Missouri Community Health CenterSalem · 0.3 mi · sliding-scale feesDirections →
0.3 mi
South Central Missouri Community Health Center
6 sites · nearest in Salem
Sliding-scale feesIn Salem
Directions to nearest
3.4 mi
Salem Memorial District Hospital
Salem · ★★★★★
ERRural critical access
22.6 mi
Missouri Highlands Health Care - Viburnum
Viburnum · community health center
Sliding-scale fees
25.5 mi
Phelps County Regional Medical Center
Rolla · ★★★★★
ER
32.2 mi
Texas County Memorial Hospital
Houston · ★★★★★
ER
34.2 mi
General Leonard Wood Ach (Ft Leonard Wood)
Fort Leonard Wood · not rated
ER
✓ Primary careNo HRSA shortage area covers Salem itself
✓ Dental careNo HRSA shortage area covers Salem itself
✓ Mental healthNo HRSA shortage area covers Salem 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 Salem; ≈ 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 35.8%MO 28.8%
Sleep under 7 hours 39.9%MO 36.5%
Binge drink 14.4%MO 16.3%
Smoke cigarettes 21.1%MO 16%
0%10%20%30%40%
Salem, betterSalem, worseAbout the sameMissouri
Where Salem gets moving

2.6 miles of trails across 5 parks and preserves

Parks & trails →
Mind & connection

How Salem adults are doing

About the same as Missouri on each measure.

3 in 10Salem adults feel lonely
30.5% · MO 31.7% · About the same as MO
1 in 5Salem adults lack social or emotional support
19.8% · MO 20.1% · About the same as MO
1 in 4Salem adults have been diagnosed with depression
26% · MO 24.3% · About the same as MO
1 in 5Salem adults are in frequent mental distress
19.4% · MO 17.5% · About the same as MO
The one neighbors can help with

3 in 10 Salem 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
Salem adults worry about having enough food
17.6% · MO 13.7%
Worse than MO
1 in 7
Salem adults worry about keeping their housing
13.5% · MO 12.1%
About the same as MO
1 in 9
Salem adults were threatened with a utility shut-off
10.6% · MO 9%
About the same as MO
1 in 10
Salem adults lack reliable transportation
10.4% · MO 8.4%
Worse than MO

15.8% of Salem adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Around town

Salem and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
SalemD40.3%14.8%21.1%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

43.9%

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

Walking or climbing stairs21.7%
Thinking or memory21.1%
Hearing11.2%
Errands alone12.7%
Vision7.1%
Dressing or bathing5.7%
Missouri

Every CDC estimate for Salem

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

On the 32 measures below that have a better and a worse direction, Salem is better than Missouri on 0 and worse on 15; on the rest, the Missouri figure falls inside Salem’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…SalemMOU.S.vs MO
Overall health
Fair or poor health26.8%23.2–30.520.5%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)18.2%16–20.514.2%13%Worse
Frequent mental distress (mental health not good 14+ days a month)19.4%17.1–21.817.5%15.9%About the same
Conditions
Obesity40.3%31.8–4936.6%32.9%About the same
Diabetes14.8%12.8–16.912.1%12%Worse
High blood pressure41.3%36.8–45.836.5%34.4%Worse
High cholesterol (adults screened in 5 years)39.5%35–44.237.5%37.1%About the same
Arthritis34.4%30.7–38.128.8%25.3%Worse
Asthma11.5%10.1–1310.6%9.9%About the same
Cancer, other than skin cancer9.9%9–118.6%7.9%Worse
Coronary heart disease9.3%8.3–10.46.8%6.4%Worse
COPD12.2%10.6–13.98%6.3%Worse
Stroke4.9%4.4–5.53.6%3.4%Worse
Lost all teeth (ages 65+)25.6%21.6–30.315.8%12.3%Worse
Habits
Smoke cigarettes21.1%18–24.216%11.8%Worse
No exercise outside work35.8%30.2–41.228.8%24.7%Worse
Binge drinking14.4%11.7–17.516.3%15.4%About the same
Sleep under 7 hours39.9%32.7–47.336.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)10.5%8.3–12.88.7%11%About the same
Checkup in the past year78.8%75.1–82.278.4%77.4%About the same
Dentist visit in the past year49%45.2–52.860.4%63.2%Worse
Cholesterol check in 5 years82.5%79.9–84.684.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)79.3%76.6–81.777.2%76.5%About the same
Colorectal cancer screening (ages 45–75)60.7%55.2–66.264%65.5%About the same
Mammogram in 2 years (women 50–74)66.9%57.9–75.374.7%76.4%About the same
Mind and connection
Ever told they have depression26%22.1–3024.3%20.6%About the same
Feel lonely30.5%25.7–35.931.7%32.5%About the same
Lack social and emotional support19.8%16.7–23.420.1%23.6%About the same
Everyday needs
Worried about having enough food17.6%14.7–20.813.7%15%Worse
Worried about keeping housing13.5%11.3–15.712.1%12%About the same
Threatened with a utility shut-off10.6%9–12.29%7.6%About the same
Lack reliable transportation10.4%9–11.98.4%7.9%Worse
Received SNAP (food stamps)15.8%13.1–18.710.8%11.6%Higher
Disability
Any disability43.9%38.7–4936.2%30.1%Higher
Difficulty walking or climbing stairs21.7%18.8–24.615.8%13.6%Higher
Difficulty concentrating or remembering21.1%18.5–23.717.2%13.9%Higher
Hearing difficulty11.2%10–12.58.3%6.7%Higher
Vision difficulty7.1%6.3–85.1%5.4%Higher
Difficulty doing errands alone12.7%11.1–14.39.2%7.9%Higher
Difficulty dressing or bathing5.7%5–6.43.9%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 Salem

Is Salem a healthy place to live?

On seven CDC estimates for adults, Salem is healthier than 7% of U.S. towns: D for health, #208 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 Salem?

CDC estimates 40.3% of adults have obesity, likely between 31.8% and 49%, against 36.6% across Missouri and 32.9% nationally.

What hospital is closest to Salem?

Salem Memorial District Hospital in Salem, 3.4 miles in a straight line from Salem’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Salem have no health insurance?

CDC estimates 10.5% of adults ages 18–64 have no health insurance (likely 8.3–12.8%), 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 Salem 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 Salem.

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.