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Shedd-Porter Memorial Library, Alstead NHPhoto: John Phelan · CC BY-SA 3.0
≈ B+Health Grade
Health in Alstead · CDC PLACES 2025

Among U.S. towns with similar household incomes, Alstead is healthier than 89%

Alstead trails New Hampshire on 11 of 32 measures CDC estimates, and leads on none.

Modeled estimates for adults 18+, from ZIP code 03602. How CDC estimates town health

What stands out · In brief

What stands out about health in Alstead

COPD, stroke and heart disease run high in Alstead

1 in 12 adults have COPD (8.3%), vs 6.2% across New Hampshire. 1 in 26 adults have had a stroke (3.8%), vs 3.1% across New Hampshire. Heart disease is also above the state: 7.3%, vs 6% across New Hampshire. In all, Alstead runs above New Hampshire on five of 11 chronic conditions. Age is part of it: 28% of residents are 65 or older (New Hampshire 20%), and COPD, stroke and heart disease are more common later in life. Conditions ↓

Smoking is more common in Alstead

1 in 7 adults smoke cigarettes (13.7%), vs 10.8% across New Hampshire. Habits ↓

Alstead is healthier than its income would predict

Against all U.S. towns, Alstead is healthier than 68%. Against the 9,837 towns with similar household incomes ($48K–$81K), it’s healthier than 89%. 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 New Hampshire figure falls outside Alstead’s likely range; Alstead’s figures come from ZIP code 03602, which may reach past town lines; at the ends of CDC’s ranges the grade could be anywhere from C to A.

Health Grade

What’s behind Alstead’s grade

On seven CDC estimates for adults, Alstead is healthier than 68% of U.S. towns. All seven estimates beat the typical U.S. town. The strongest is obesity (fewer adults with obesity than 74% of towns); the weakest is physical distress, still better than 53%.

B+Self-rated health17.5% · NH 14.5% · U.S. 19.4%
B−Physical distress14% · NH 11.7% · U.S. 13%
B+Mental distress16.1% · NH 15.3% · U.S. 15.9%
B+Obesity32.4% · NH 31.8% · U.S. 32.9%
B+Diabetes11% · NH 9.4% · U.S. 12%
BSmoking13.7% smoke · NH 10.8% · U.S. 11.8%
B+Exercise23.4% · NH 20.7% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 68%
Less healthyHealthier
U.S. towns with similar incomes, $48K–$81K (9,837)Healthier than 89%

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). Alstead’s median household income is $64,526; among the 9,837 U.S. towns within 25% of that ($48K–$81K), it’s healthier than 89%, more than its income alone would suggest.

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Alstead could be anywhere from C to A. The letter shows with “≈”. These are ZIP code figures (ZIP 03602), weighted by land area, which can reach past town lines.

How TownRatings grades health →

Chronic conditions

Out of every 100 Alstead adults…

Alstead runs above NH on 8 of 12 conditions. Tap one to see it as people.

8 of every 100 Alstead adults have COPD
New Hampshire: 6 in 100 · worse · likely 7.1–9.8%
Better than NHWorseAbout the sameNew Hampshire
Why age matters here

Alstead is an older town: 28% of residents are 65 or older, vs 20% across New Hampshire. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Alstead as about how healthy they are.

Residents 65 and older

Alstead28%
New Hampshire20%
Habits

Everyday habits, side by side with New Hampshire

Share of adults, with the New Hampshire figure marked.

Get no exercise 23.4%NH 20.7%
Sleep under 7 hours 33.4%NH 32.9%
Binge drink 14.9%NH 15.7%
Smoke cigarettes 13.7%NH 10.8%
0%10%20%30%40%
Alstead, betterAlstead, worseAbout the sameNew Hampshire
Where Alstead gets moving

29 miles of trails across 4 parks and preserves

Parks & trails →
Getting care

Care in and near Alstead

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

HNearest ERCheshire Medical CenterKeene · 9.9 miDirections →
★Best rated nearbyCheshire Medical Center★★★★★ · 9.9 miDirections →
+Low-cost careSpringfield Medical Care SystemsCharlestown · 12.8 mi · sliding-scale feesDirections →
9.9 mi
Cheshire Medical Center
Keene · ★★★★★
ER
12.8 mi
Springfield Medical Care Systems
6 sites · nearest in Charlestown
Sliding-scale fees
Directions to nearest
16.9 mi
Springfield Hospital
Springfield · not rated
ERRural critical access
18.7 mi
Grace Cottage Hospital
Townshend · not rated
Rural critical access
20.7 mi
Valley Regional Hospital
Claremont · ★★★★★
ERRural critical access
35.1 mi
Community Health Center of Franklin County
2 sites · nearest in Orange
Sliding-scale fees
Directions to nearest
✓ Primary careAlstead is not a shortage area
✓ Dental careAlstead is not a shortage area
✓ Mental healthAlstead is not a shortage area

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 Alstead; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas.

Checkups & screenings

Keeping up with care

Share of Alstead adults getting routine care. The full ring is 100%; the dark tick marks New Hampshire.

76%Yearly checkupNH 78%
66%Dentist visitNH 69%
88%Cholesterol checkNH 88%
69%Colon screeningNH 70%
78%MammogramNH 79%
78%Taking BP medsNH 77%
1 in 14
working-age adults has no health insurance
Alstead 7.4% · New Hampshire 1 in 15 (6.8%)
Mind & connection

How Alstead adults are doing

About the same as New Hampshire on each measure.

3 in 10Alstead adults feel lonely
29.5% · NH 30.6% · About the same as NH
1 in 4Alstead adults lack social or emotional support
22.4% · NH 21.6% · About the same as NH
1 in 4Alstead adults have been diagnosed with depression
24.1% · NH 22.7% · About the same as NH
1 in 6Alstead adults are in frequent mental distress
16.1% · NH 15.3% · About the same as NH
The one neighbors can help with

3 in 10 Alstead 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 9
Alstead adults worry about having enough food
11.1% · NH 9.5%
About the same as NH
1 in 11
Alstead adults worry about keeping their housing
8.9% · NH 8.1%
About the same as NH
1 in 16
Alstead adults were threatened with a utility shut-off
6.2% · NH 5.4%
About the same as NH
1 in 15
Alstead adults lack reliable transportation
6.5% · NH 5.6%
About the same as NH

8.6% of Alstead adults receive SNAP (food stamps), compared with 6.5% across New Hampshire.

Around town

Alstead and the towns around it

How health changes across the town line.

Gilsum: 32.4%Marlow: 32.2%Langdon: 32.4%Walpole: 30.7%Surry: 28.8%Acworth: 32.9%Sullivan: 30.4%Keene: 28.6%Washington: 33.1%Lempster: 33.8%Charlestown: 35.4%Westminster: 25.5%Rockingham: 27.6%Bellows Falls: 28.8%Westminster: 26.2%Westmoreland: 29.2%Unity: 34.9%Alstead: 32.4%AlsteadGilsumMarlowLangdonWalpoleSurryAcworthCheshire Medical Center · Keene · 9.9 mi · 4★ MedicareHSpringfield Hospital · Springfield · 16.9 miHCharlestown Health Center · Charlestown · 12.8 mi+
Healthier than NHNear NHLess healthyHHospital+Health center
Obesity
#11 of 18 towns on this map, healthiest first
Surry28.8%
Walpole30.7%
Marlow32.2%
Alstead32.4%
Gilsum32.4%
Langdon32.4%
Acworth32.9%
NH31.8%

Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.

Health next door

TownHealthObesityDiabetesSmokingFigures from
AlsteadB+32.4%11%13.7%ZIP 03602
Langdon————
Marlow————
Gilsum————
Acworth————
Surry————
WalpoleB+30.7%11.1%12.5%ZIP codes

Langdon, Marlow, Gilsum and Acworth: fewer than 1,000 residents. Surry: not graded. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

30.7%

of Alstead adults live with a disability (New Hampshire 26.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs14.2%
Thinking or memory13.6%
Hearing8.5%
Errands alone7.8%
Vision4.6%
Dressing or bathing3.7%
New Hampshire

Every CDC estimate for Alstead

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

On the 32 measures below that have a better and a worse direction, Alstead is better than New Hampshire on 0 and worse on 11; on the rest, the New Hampshire figure falls inside Alstead’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…AlsteadNHU.S.vs NH
Overall health
Fair or poor health17.5%15.3–20.314.5%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)14%12.4–15.911.7%13%Worse
Frequent mental distress (mental health not good 14+ days a month)16.1%14.4–1815.3%15.9%About the same
Conditions
Obesity32.4%28.4–37.231.8%32.9%About the same
Diabetes11%9.6–12.49.4%12%Worse
High blood pressure36.3%33.5–39.433%34.4%Worse
High cholesterol (adults screened in 5 years)36.1%33.3–39.135.2%37.1%About the same
Arthritis32.7%30.2–35.527.6%25.3%Worse
Asthma11%10–12.210.5%9.9%About the same
Cancer, other than skin cancer11%10.1–129.8%7.9%Worse
Coronary heart disease7.3%6.5–8.26%6.4%Worse
COPD8.3%7.1–9.86.2%6.3%Worse
Stroke3.8%3.4–4.33.1%3.4%Worse
Lost all teeth (ages 65+)14.8%12.7–17.28.9%12.3%Worse
Habits
Smoke cigarettes13.7%11.4–16.310.8%11.8%Worse
No exercise outside work23.4%20.1–27.120.7%24.7%About the same
Binge drinking14.9%13–17.215.7%15.4%About the same
Sleep under 7 hours33.4%29.6–37.532.9%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.4%6–96.8%11%About the same
Checkup in the past year76%73.2–78.877.8%77.4%About the same
Dentist visit in the past year66.3%63.5–69.168.8%63.2%About the same
Cholesterol check in 5 years88.1%86.5–89.688.3%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)78.2%75.8–80.876.8%76.5%About the same
Colorectal cancer screening (ages 45–75)68.6%65.4–71.969.5%65.5%About the same
Mammogram in 2 years (women 50–74)78.4%73.7–8378.8%76.4%About the same
Mind and connection
Ever told they have depression24.1%21.5–27.122.7%20.6%About the same
Feel lonely29.5%26.2–32.930.6%32.5%About the same
Lack social and emotional support22.4%19.6–25.521.6%23.6%About the same
Everyday needs
Worried about having enough food11.1%9.1–13.39.5%15%About the same
Worried about keeping housing8.9%7.5–10.58.1%12%About the same
Threatened with a utility shut-off6.2%5.3–7.35.4%7.6%About the same
Lack reliable transportation6.5%5.6–7.55.6%7.9%About the same
Received SNAP (food stamps)8.6%6.8–10.66.5%11.6%Higher
Disability
Any disability30.7%27.4–34.526.1%30.1%Higher
Difficulty walking or climbing stairs14.2%12.3–16.411.3%13.6%Higher
Difficulty concentrating or remembering13.6%11.9–15.612%13.9%About the same
Hearing difficulty8.5%7.7–9.57.2%6.7%Higher
Vision difficulty4.6%4.1–5.33.8%5.4%Higher
Difficulty doing errands alone7.8%6.8–96.6%7.9%Higher
Difficulty dressing or bathing3.7%3.2–4.32.9%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 New Hampshire figure falls inside that range.

Questions about health in Alstead

Is Alstead a healthy place to live?

On seven CDC estimates for adults, Alstead is healthier than 68% of U.S. towns: ≈ B+ for health. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Alstead?

CDC estimates 32.4% of adults have obesity, likely between 28.4% and 37.2%, against 31.8% across New Hampshire and 32.9% nationally.

What hospital is closest to Alstead?

Cheshire Medical Center in Keene, 9.9 miles in a straight line from Alstead’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Alstead have no health insurance?

CDC estimates 7.4% of adults ages 18–64 have no health insurance (likely 6–9%), against 6.8% across New Hampshire.

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 Alstead more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from C to A.

Neighbors talk health

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

Town Square →
Ask your neighbors

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