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Vandalia MissouriPhoto: TCP04 · CC BY 4.0
≈ C−Health Grade
Health in Vandalia · CDC PLACES 2025

On CDC estimates, Vandalia is healthier than 18% of U.S. towns

Vandalia differs from Missouri on 14 of 32 measures CDC estimates: 3 better, 11 worse.

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

What stands out · In brief

What stands out about health in Vandalia

Making ends meet is harder in Vandalia

1 in 5 adults worry about having enough food (19.1%), vs 13.7% across Missouri. Housing insecurity (16.6% vs 12.1%) and utility shut-off threats (11.8% vs 9%) are higher too. 16.4% of adults receive SNAP, vs 10.8% statewide. Everyday needs ↓

Mental distress runs high in Vandalia

1 in 4 adults are in frequent mental distress (22.7%), vs 17.5% across Missouri. Depression is above the state too: 29.9%, vs 24.3% across Missouri. Mind & connection ↓

Dental care lags in Vandalia

54.3% of adults saw a dentist this year, vs 60.4% across Missouri. Among those 65 and older, 22.7% have lost all their teeth (Missouri 15.8%). Checkups ↓

Vandalia is healthier than its income would predict

Against all U.S. towns, Vandalia is healthier than 18%. Against the 5,904 towns with similar household incomes ($38K–$63K), it’s healthier than 43%. 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 Vandalia’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D to B−.

Health Grade

What’s behind Vandalia’s grade

On seven CDC estimates for adults, Vandalia is healthier than 18% of U.S. towns, #160 of 247 in Missouri. Diabetes holds the grade up (fewer adults with diabetes than 70% of U.S. towns); mental distress pulls it down (near the bottom of U.S. towns).

C−Self-rated health23.3% · MO 20.5% · U.S. 19.4%
C−Physical distress16% · MO 14.2% · U.S. 13%
D−Mental distress22.7% · MO 17.5% · U.S. 15.9%
C−Obesity39.7% · MO 36.6% · U.S. 32.9%
B+Diabetes10.8% · MO 12.1% · U.S. 12%
DSmoking20.2% smoke · MO 16% · U.S. 11.8%
DExercise33.7% · MO 28.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 18%
Less healthyHealthier
Missouri towns we grade (247)Healthier than 35%
U.S. towns with similar incomes, $38K–$63K (5,904)Healthier than 43%

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). Vandalia’s median household income is $50,313; among the 5,904 U.S. towns within 25% of that ($38K–$63K), it’s healthier than 43%, so it sits below most towns with similar incomes, too.

Few Missouri towns score lower on these estimates than towns elsewhere, so within the state Vandalia is healthier than 35% of graded towns, against 18% nationally.

Where Vandalia compares well: high cholesterol (adults screened in 5 years), 32.2% (U.S. 37.1%); cancer, other than skin cancer, 7% (U.S. 7.9%).

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Vandalia could be anywhere from D to B−. The letter shows with “≈”.

How TownRatings grades health →

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 5
Vandalia adults worry about having enough food
19.1% · MO 13.7%
Worse than MO
1 in 6
Vandalia adults worry about keeping their housing
16.6% · MO 12.1%
Worse than MO
1 in 8
Vandalia adults were threatened with a utility shut-off
11.8% · MO 9%
Worse than MO
1 in 9
Vandalia adults lack reliable transportation
10.9% · MO 8.4%
Worse than MO

16.4% of Vandalia adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Mind & connection

How Vandalia adults are doing

On 2 of 4 measures, Vandalia runs above Missouri.

1 in 3Vandalia adults feel lonely
35.5% · MO 31.7% · About the same as MO
1 in 5Vandalia adults lack social or emotional support
21.9% · MO 20.1% · About the same as MO
3 in 10Vandalia adults have been diagnosed with depression
29.9% · MO 24.3% · Worse than MO
1 in 4Vandalia adults are in frequent mental distress
22.7% · MO 17.5% · Worse than MO
The one neighbors can help with

1 in 3 Vandalia 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.

Checkups & screenings

Keeping up with care

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

77%Yearly checkupMO 78%
54%Dentist visitMO 60%
82%Cholesterol checkMO 85%
60%Colon screeningMO 64%
74%MammogramMO 75%
74%Taking BP medsMO 77%
1 in 10
working-age adults has no health insurance
Vandalia 10.4% · Missouri 1 in 11 (8.7%)
Chronic conditions

Out of every 100 Vandalia adults…

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

30 of every 100 Vandalia adults have been diagnosed with depression
Missouri: 24 in 100 · worse · likely 25.4–34.5%
Better than MOWorseAbout the sameMissouri
Getting care

Care in and near Vandalia

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

HNearest ERPike County Memorial HospitalLouisiana · 24.5 miDirections →
+Low-cost carePreferred Family Healthcare, IncorporatedBowling Green · 18.5 mi · sliding-scale feesDirections →
18.5 mi
Preferred Family Healthcare, Incorporated
5 sites · nearest in Bowling Green
Sliding-scale fees
Directions to nearest
23.9 mi
East Central Missouri Behavioral Health Services
2 sites · nearest in Montgomery City
Sliding-scale fees
Directions to nearest
24.5 mi
Pike County Memorial Hospital
Louisiana · not rated
ERRural critical access
26.5 mi
Hannibal Regional Hospital
Hannibal · ★★★★★
ER
35.3 mi
Mercy Hospital Lincoln
Troy · not rated
ERRural critical access
41.5 mi
Illini Community Hospital
Pittsfield · ★★★★★
ERRural critical access
✓ Primary careNo HRSA shortage area covers Vandalia itself
✓ Dental careNo HRSA shortage area covers Vandalia itself
✓ Mental healthNo HRSA shortage area covers Vandalia 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 Vandalia; ≈ 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 33.7%MO 28.8%
Sleep under 7 hours 41.6%MO 36.5%
Binge drink 16%MO 16.3%
Smoke cigarettes 20.2%MO 16%
0%10%20%30%40%50%
Vandalia, betterVandalia, worseAbout the sameMissouri
Where Vandalia gets moving

0 miles of trails across 1 park or preserve

Parks & trails →
Around town

Vandalia and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
VandaliaC−39.7%10.8%20.2%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

39.1%

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

Walking or climbing stairs16%
Thinking or memory22.2%
Hearing7.3%
Errands alone11.7%
Vision5.7%
Dressing or bathing4.2%
Missouri

Every CDC estimate for Vandalia

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

On the 32 measures below that have a better and a worse direction, Vandalia is better than Missouri on 3 and worse on 11; on the rest, the Missouri figure falls inside Vandalia’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…VandaliaMOU.S.vs MO
Overall health
Fair or poor health23.3%19.4–27.420.5%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)16%13.7–18.414.2%13%About the same
Frequent mental distress (mental health not good 14+ days a month)22.7%19.8–25.617.5%15.9%Worse
Conditions
Obesity39.7%31.6–48.136.6%32.9%About the same
Diabetes10.8%9.2–12.412.1%12%About the same
High blood pressure32.5%28.5–36.636.5%34.4%About the same
High cholesterol (adults screened in 5 years)32.2%28–36.237.5%37.1%Better
Arthritis27.3%24–30.728.8%25.3%About the same
Asthma12.8%11.1–14.410.6%9.9%Worse
Cancer, other than skin cancer7%6.3–7.88.6%7.9%Better
Coronary heart disease5.8%5.1–6.66.8%6.4%Better
COPD8.7%7.4–10.28%6.3%About the same
Stroke3.4%3–3.83.6%3.4%About the same
Lost all teeth (ages 65+)22.7%18.8–27.215.8%12.3%Worse
Habits
Smoke cigarettes20.2%16.5–24.316%11.8%Worse
No exercise outside work33.7%27.9–4028.8%24.7%About the same
Binge drinking16%13–19.316.3%15.4%About the same
Sleep under 7 hours41.6%34.7–4936.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)10.4%7.9–13.58.7%11%About the same
Checkup in the past year77.3%73.3–8178.4%77.4%About the same
Dentist visit in the past year54.3%50.4–58.460.4%63.2%Worse
Cholesterol check in 5 years81.5%78.5–84.584.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)74%70.9–76.977.2%76.5%Worse
Colorectal cancer screening (ages 45–75)60.4%54.9–65.864%65.5%About the same
Mammogram in 2 years (women 50–74)74%65.7–81.474.7%76.4%About the same
Mind and connection
Ever told they have depression29.9%25.4–34.524.3%20.6%Worse
Feel lonely35.5%30.2–4131.7%32.5%About the same
Lack social and emotional support21.9%18.4–25.720.1%23.6%About the same
Everyday needs
Worried about having enough food19.1%15.3–23.313.7%15%Worse
Worried about keeping housing16.6%13.6–19.612.1%12%Worse
Threatened with a utility shut-off11.8%9.9–13.79%7.6%Worse
Lack reliable transportation10.9%9.2–12.88.4%7.9%Worse
Received SNAP (food stamps)16.4%13.1–20.310.8%11.6%Higher
Disability
Any disability39.1%33.5–4536.2%30.1%About the same
Difficulty walking or climbing stairs16%13.6–18.715.8%13.6%About the same
Difficulty concentrating or remembering22.2%19–25.817.2%13.9%Higher
Hearing difficulty7.3%6.4–8.18.3%6.7%Lower
Vision difficulty5.7%4.9–6.55.1%5.4%About the same
Difficulty doing errands alone11.7%9.9–13.79.2%7.9%Higher
Difficulty dressing or bathing4.2%3.6–4.93.9%3.8%About the same

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 Vandalia

Is Vandalia a healthy place to live?

On seven CDC estimates for adults, Vandalia is healthier than 18% of U.S. towns: ≈ C− for health, #160 of 247 in Missouri. Among U.S. towns with similar household incomes it’s healthier than 43%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Vandalia?

CDC estimates 39.7% of adults have obesity, likely between 31.6% and 48.1%, against 36.6% across Missouri and 32.9% nationally.

What hospital is closest to Vandalia?

Pike County Memorial Hospital in Louisiana, 24.5 miles in a straight line from Vandalia’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Vandalia have no health insurance?

CDC estimates 10.4% of adults ages 18–64 have no health insurance (likely 7.9–13.5%), 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 Vandalia more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D to B−.

Neighbors talk health

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

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.