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Union, MissouriPhoto: TCP04 · CC BY 4.0
C+Health Grade
Health in Union · CDC PLACES 2025

Within Missouri, Union is healthier than 62% of graded towns

Union beats Missouri on 3 of 32 measures CDC estimates, and trails on none.

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

What stands out · In brief

What stands out about health in Union

Union is short on every kind of care federal data tracks

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

Union looks healthier next to Missouri than next to the country

It’s healthier than 62% of the 247 Missouri towns we grade, but 42% of towns nationwide. Much of Missouri scores low on these measures. Health Grade ↓

Union has a community health center but no hospital

Compass Health is in town and charges on a sliding scale by income. The nearest ER is Mercy Hospital Washington in Washington, 7.9 miles away. 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 Union’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C− to B+.

Health Grade

What’s behind Union’s grade

On seven CDC estimates for adults, Union is healthier than 42% of U.S. towns, #95 of 247 in Missouri. Diabetes holds the grade up (fewer adults with diabetes than 77% of U.S. towns); mental distress pulls it down (better than 25%).

B−Self-rated health19.4% · MO 20.5% · U.S. 19.4%
B−Physical distress14% · MO 14.2% · U.S. 13%
CMental distress18.5% · MO 17.5% · U.S. 15.9%
CObesity38.9% · MO 36.6% · U.S. 32.9%
A−Diabetes10.3% · MO 12.1% · U.S. 12%
C+Smoking16.3% smoke · MO 16% · U.S. 11.8%
CExercise28.3% · MO 28.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 42%
Less healthyHealthier
Missouri towns we grade (247)Healthier than 62%
U.S. towns with similar incomes, $55K–$92K (10,777)Healthier than 46%

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). Union’s median household income is $73,435; among the 10,777 U.S. towns within 25% of that ($55K–$92K), it’s healthier than 46%, about where its income would put it.

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

How TownRatings grades health →

★ What stands out · Getting care

Care in and near Union

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

HNearest ERMercy Hospital WashingtonWashington · 7.9 miDirections →
★Best rated nearbyMercy Hospital Washington★★★★★ · 7.9 miDirections →
+Low-cost careCompass HealthUnion · 1.6 mi · sliding-scale feesDirections →
1.6 mi
Compass Health
7 sites · nearest in Union
Sliding-scale feesIn Union
Directions to nearest
7.9 mi
Mercy Hospital Washington
Washington · ★★★★★
ER
19.2 mi
Missouri Baptist Sullivan Hospital
Sullivan · ★★★★★
ERRural critical access
23.9 mi
Bourbon Dental Clinic
Bourbon · community health center
Sliding-scale fees
25 mi
Progress West Hospital
Ofallon · ★★★★★
ER
30.1 mi
Hermann Area District Hospital
Hermann · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Union itself
✓ Dental careNo HRSA shortage area covers Union itself
✓ Mental healthNo HRSA shortage area covers Union 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 Union; ≈ 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 Union adults…

Union runs below MO on 3 of 12 conditions. Tap one to see it as people.

10 of every 100 Union adults have diabetes
Missouri: 12 in 100 · better · likely 8.9–11.8%
Better than MOWorseAbout the sameMissouri
Why age matters in Union

Only 12% of Union residents are 65 or older, vs 18% across Missouri. Heart disease, stroke and diabetes run low partly because the town is young.

Residents 65 and older

Union12%
Missouri18%
Habits

Everyday habits, side by side with Missouri

Share of adults, with the Missouri figure marked.

Get no exercise 28.3%MO 28.8%
Sleep under 7 hours 35.9%MO 36.5%
Binge drink 18.9%MO 16.3%
Smoke cigarettes 16.3%MO 16%
0%10%20%30%40%
Union, betterUnion, worseAbout the sameMissouri
Where Union gets moving

2.3 miles of trails across 8 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

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

77%Yearly checkupMO 78%
57%Dentist visitMO 60%
83%Cholesterol checkMO 85%
63%Colon screeningMO 64%
73%MammogramMO 75%
75%Taking BP medsMO 77%
1 in 12
working-age adults has no health insurance
Union 8.5% · Missouri 1 in 11 (8.7%)
Mind & connection

How Union adults are doing

About the same as Missouri on each measure.

3 in 10Union adults feel lonely
30.7% · MO 31.7% · About the same as MO
1 in 5Union adults lack social or emotional support
19.7% · MO 20.1% · About the same as MO
1 in 4Union adults have been diagnosed with depression
26.8% · MO 24.3% · About the same as MO
1 in 5Union adults are in frequent mental distress
18.5% · MO 17.5% · About the same as MO
The one neighbors can help with

3 in 10 Union 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
Union adults worry about having enough food
12.2% · MO 13.7%
About the same as MO
1 in 9
Union adults worry about keeping their housing
11.1% · MO 12.1%
About the same as MO
1 in 13
Union adults were threatened with a utility shut-off
7.8% · MO 9%
About the same as MO
1 in 13
Union adults lack reliable transportation
7.8% · MO 8.4%
About the same as MO

9.2% of Union adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Around town

Union and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
UnionC+38.9%10.3%16.3%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

35.4%

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

Walking or climbing stairs14%
Thinking or memory18.1%
Hearing7.8%
Errands alone9%
Vision4.5%
Dressing or bathing3.4%
Missouri

Every CDC estimate for Union

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

On the 32 measures below that have a better and a worse direction, Union is better than Missouri on 3 and worse on 0; on the rest, the Missouri figure falls inside Union’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…UnionMOU.S.vs MO
Overall health
Fair or poor health19.4%17–22.120.5%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)14%12.4–15.814.2%13%About the same
Frequent mental distress (mental health not good 14+ days a month)18.5%16.5–20.917.5%15.9%About the same
Conditions
Obesity38.9%32.2–46.236.6%32.9%About the same
Diabetes10.3%8.9–11.812.1%12%Better
High blood pressure33%29.4–36.936.5%34.4%About the same
High cholesterol (adults screened in 5 years)35.9%32–4037.5%37.1%About the same
Arthritis27.3%24.3–30.428.8%25.3%About the same
Asthma10.8%9.5–12.210.6%9.9%About the same
Cancer, other than skin cancer8.1%7.3–8.98.6%7.9%About the same
Coronary heart disease6%5.4–6.76.8%6.4%Better
COPD7.5%6.6–8.48%6.3%About the same
Stroke3.1%2.9–3.43.6%3.4%Better
Lost all teeth (ages 65+)14.8%12.1–17.815.8%12.3%About the same
Habits
Smoke cigarettes16.3%14.1–18.816%11.8%About the same
No exercise outside work28.3%24.2–32.828.8%24.7%About the same
Binge drinking18.9%15.7–22.416.3%15.4%About the same
Sleep under 7 hours35.9%29.7–42.436.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)8.5%7.1–10.18.7%11%About the same
Checkup in the past year76.8%73.1–80.378.4%77.4%About the same
Dentist visit in the past year57.2%53.4–60.960.4%63.2%About the same
Cholesterol check in 5 years82.8%80.4–84.884.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)74.9%72–77.777.2%76.5%About the same
Colorectal cancer screening (ages 45–75)63%57.9–67.864%65.5%About the same
Mammogram in 2 years (women 50–74)72.5%64.4–79.574.7%76.4%About the same
Mind and connection
Ever told they have depression26.8%23.2–30.824.3%20.6%About the same
Feel lonely30.7%26.1–35.331.7%32.5%About the same
Lack social and emotional support19.7%16.6–22.820.1%23.6%About the same
Everyday needs
Worried about having enough food12.2%10.1–14.413.7%15%About the same
Worried about keeping housing11.1%9.4–1312.1%12%About the same
Threatened with a utility shut-off7.8%6.7–99%7.6%About the same
Lack reliable transportation7.8%6.7–8.98.4%7.9%About the same
Received SNAP (food stamps)9.2%7.7–10.910.8%11.6%About the same
Disability
Any disability35.4%31.3–39.936.2%30.1%About the same
Difficulty walking or climbing stairs14%12.3–1615.8%13.6%About the same
Difficulty concentrating or remembering18.1%16–20.317.2%13.9%About the same
Hearing difficulty7.8%6.9–8.78.3%6.7%About the same
Vision difficulty4.5%4.1–55.1%5.4%Lower
Difficulty doing errands alone9%8–10.19.2%7.9%About the same
Difficulty dressing or bathing3.4%3.1–3.83.9%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 Missouri figure falls inside that range.

Questions about health in Union

Is Union a healthy place to live?

On seven CDC estimates for adults, Union is healthier than 42% of U.S. towns: C+ for health, #95 of 247 in Missouri. Among U.S. towns with similar household incomes it’s healthier than 46%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Union?

CDC estimates 38.9% of adults have obesity, likely between 32.2% and 46.2%, against 36.6% across Missouri and 32.9% nationally.

What hospital is closest to Union?

Mercy Hospital Washington in Washington, 7.9 miles in a straight line from Union’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Union have no health insurance?

CDC estimates 8.5% of adults ages 18–64 have no health insurance (likely 7.1–10.1%), 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 Union more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from C− to B+.

Neighbors talk health

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

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.