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Middletown Butler Warren County Ohio USA DowntownPhoto: Constantin Knapp · CC BY-SA 3.0
DHealth Grade
Health in Middletown · CDC PLACES 2025

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

Middletown trails Ohio on 18 of 32 measures CDC estimates, and leads on none.

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

What stands out · In brief

What stands out about health in Middletown

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

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

Making ends meet is harder in Middletown

1 in 5 adults worry about having enough food (21%), vs 14.1% across Ohio. Utility shut-off threats (11.8% vs 8.3%) and no reliable transportation (10.9% vs 7.7%) are higher too. 19.2% of adults receive SNAP, vs 11.7% statewide. Everyday needs ↓

Every town around Middletown scores healthier

All six graded neighbors are ahead of Middletown’s D, from Madison Township (C−) to Hunter (B+). Around town ↓

Middletown has a top-rated hospital

Atrium Medical Center is rated 4 of 5 stars by Medicare and has an emergency room. 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 Ohio figure falls outside Middletown’s likely range.

Health Grade

What’s behind Middletown’s grade

On seven CDC estimates for adults, Middletown is healthier than 7% of U.S. towns, #911 of 993 in Ohio. Physical distress holds the grade up (fewer adults with frequent physical distress than 17% of U.S. towns); obesity pulls it down (better than 6%).

C−Self-rated health25% · OH 19.4% · U.S. 19.4%
C−Physical distress16.5% · OH 13.9% · U.S. 13%
DMental distress20.2% · OH 17.5% · U.S. 15.9%
DObesity43.4% · OH 37.1% · U.S. 32.9%
DDiabetes15.2% · OH 13.2% · U.S. 12%
DSmoking20% smoke · OH 15.4% · U.S. 11.8%
DExercise34.2% · OH 26.9% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 7%
Less healthyHealthier
Ohio towns we grade (993)Healthier than 8%
U.S. towns with similar incomes, $43K–$71K (8,061)Healthier than 10%

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). Middletown’s median household income is $57,102; among the 8,061 U.S. towns within 25% of that ($43K–$71K), it’s healthier than 10%, 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, Middletown could be anywhere from D− to C−.
A note on the data.2024 figures come from the FBI's Crime Data Explorer; the FBI's published 2024 table doesn't include this department

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
Middletown adults worry about having enough food
21% · OH 14.1%
Worse than OH
1 in 6
Middletown adults worry about keeping their housing
15.7% · OH 11.3%
Worse than OH
1 in 8
Middletown adults were threatened with a utility shut-off
11.8% · OH 8.3%
Worse than OH
1 in 9
Middletown adults lack reliable transportation
10.9% · OH 7.7%
Worse than OH

19.2% of Middletown adults receive SNAP (food stamps), compared with 11.7% across Ohio.

Around town

Middletown and the towns around it

Middletown’s Health Grade ranks 7th of 7 graded towns around it.

Lemon Township: 39.4%Monroe: 37.5%Madison Township: 41%Hunter: 34%Franklin Township: 36.2%Turtlecreek Township: 36.7%Liberty Township: 41.1%Trenton: 39.8%German Township: 34%St. Clair Township: 40.5%Wayne Township: 40.5%Gratis Township: 40.3%Woodsdale: 41.3%Fairfield Township: 41%Clear Creek Township: 34%Springboro: 32.1%Franklin: 38.3%Miami Township: 33.6%Lebanon: 35.5%Washington Township: 35.4%Mason: 30.6%Wayne Township: 34.3%Union Township: 35.1%Salem Township: 34.5%Middletown: 43.4%MiddletownLemon TownshipMonroeMadison TownshipHunterFranklin TownshipTurtlecreek TownshipAtrium Medical Center · Franklin · 2.7 mi · 4★ MedicareHWest Chester Hospital · West Chester · 9.8 mi · 3★ MedicareHKettering Health Miamisburg · Miamisburg · 9.9 mi · 4★ MedicareHMercy Health Kings Mills Hospital · Mason · 11.6 miHCenterpoint Health Middletown · Middletown · 1.1 mi+Middletown Community Health Center - 9th Avenue · Middletown · 2.4 mi+
Healthier than OHNear OHLess healthyHHospital+Health center
Obesity
#25 of 25 towns on this map, healthiest first
Hunter34%
Franklin Township36.2%
Turtlecreek Township36.7%
Monroe37.5%
Lemon Township39.4%
Madison Township41%
Middletown43.4%
OH37.1%

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
MiddletownD43.4%15.2%20%CDC place
Lemon TownshipC+39.4%12.2%15.1%ZIP codes
MonroeB+37.5%10.9%13.1%CDC place
Madison TownshipC−41%13.6%17.7%ZIP codes
HunterB+34%11.6%14.2%CDC place
Franklin TownshipC+36.2%13.2%17.2%ZIP codes
Turtlecreek TownshipB−36.7%12.3%16.7%ZIP codes

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

Getting care

Care in and near Middletown

1 hospital and 2 community health centers in Middletown, plus the nearest just outside it.

HNearest ERAtrium Medical CenterFranklin · 2.7 miDirections →
★Best rated nearbyAtrium Medical Center★★★★★ · 2.7 miDirections →
+Low-cost careTalbert House Health Center D/B/A Centerpoint HealthMiddletown · 1.1 mi · sliding-scale feesDirections →
1.1 mi
Talbert House Health Center D/B/A Centerpoint Health
3 sites · nearest in Middletown
Sliding-scale feesIn Middletown
Directions to nearest
2.4 mi
Butler County Community Health Consortium
3 sites · nearest in Middletown
Sliding-scale feesIn Middletown
Directions to nearest
2.7 mi
Atrium Medical Center
Franklin · ★★★★★
ERIn Middletown
9.8 mi
West Chester Hospital
West Chester · ★★★★★
ER
9.9 mi
Kettering Health Miamisburg
Miamisburg · ★★★★★
ER
11.6 mi
Mercy Health Kings Mills Hospital
Mason · not rated
ER
! Primary carePart of Middletown is a federal shortage area for some residents.Low-income residents, Middletown · need score 18 of 25
! Dental carePart of Middletown is a federal shortage area for some residents.Low-income residents, Middletown · need score 18 of 25
✓ Mental healthNo HRSA shortage area covers Middletown 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 Middletown; ≈ 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 Middletown adults…

Middletown runs above OH on 6 of 12 conditions. Tap one to see it as people.

10 of every 100 Middletown adults have COPD
Ohio: 8 in 100 · worse · likely 9.2–11%
Better than OHWorseAbout the sameOhio
Habits

Everyday habits, side by side with Ohio

Share of adults, with the Ohio figure marked.

Get no exercise 34.2%OH 26.9%
Sleep under 7 hours 39.6%OH 37.9%
Binge drink 16.8%OH 16.6%
Smoke cigarettes 20%OH 15.4%
0%10%20%30%40%
Middletown, betterMiddletown, worseAbout the sameOhio
Where Middletown gets moving

2.7 miles of trails across 26 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

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

80%Yearly checkupOH 80%
55%Dentist visitOH 63%
83%Cholesterol checkOH 86%
62%Colon screeningOH 65%
75%MammogramOH 76%
78%Taking BP medsOH 79%
1 in 9
working-age adults has no health insurance
Middletown 11.1% · Ohio 1 in 13 (8%)
Mind & connection

How Middletown adults are doing

On 1 of 4 measures, Middletown runs above Ohio.

4 in 10Middletown adults feel lonely
37.1% · OH 35% · About the same as OH
1 in 4Middletown adults lack social or emotional support
23.5% · OH 21.3% · About the same as OH
1 in 4Middletown adults have been diagnosed with depression
27.4% · OH 25.4% · About the same as OH
1 in 5Middletown adults are in frequent mental distress
20.2% · OH 17.5% · Worse than OH
The one neighbors can help with

4 in 10 Middletown 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.

Disability

Living with a disability

Shown without a better/worse judgment.

33.6%

of Middletown adults live with a disability (Ohio 29.5%). Thinking or memory is the most common.

Walking or climbing stairs16.5%
Thinking or memory17.2%
Hearing7.5%
Errands alone10.6%
Vision6.5%
Dressing or bathing5.1%
Ohio

Every CDC estimate for Middletown

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

On the 32 measures below that have a better and a worse direction, Middletown is better than Ohio on 0 and worse on 18; on the rest, the Ohio figure falls inside Middletown’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…MiddletownOHU.S.vs OH
Overall health
Fair or poor health25%22.6–27.419.4%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)16.5%14.9–18.113.9%13%Worse
Frequent mental distress (mental health not good 14+ days a month)20.2%18.3–22.217.5%15.9%Worse
Conditions
Obesity43.4%38.3–48.437.1%32.9%Worse
Diabetes15.2%13.6–16.813.2%12%Worse
High blood pressure39.4%36.2–42.537.2%34.4%About the same
High cholesterol (adults screened in 5 years)36.4%33.3–39.636.7%37.1%About the same
Arthritis30.8%28.2–33.429.8%25.3%About the same
Asthma11.8%10.6–13.111.1%9.9%About the same
Cancer, other than skin cancer8.3%7.6–9.18.7%7.9%About the same
Coronary heart disease8%7.3–8.77.1%6.4%Worse
COPD10.1%9.2–118%6.3%Worse
Stroke4.2%3.9–4.53.7%3.4%Worse
Lost all teeth (ages 65+)22.2%18.9–25.615.3%12.3%Worse
Habits
Smoke cigarettes20%17.8–22.115.4%11.8%Worse
No exercise outside work34.2%30.5–37.926.9%24.7%Worse
Binge drinking16.8%14.4–19.416.6%15.4%About the same
Sleep under 7 hours39.6%34.8–44.337.9%36%About the same
Checkups and coverage
No health insurance (ages 18–64)11.1%9.8–12.68%11%Worse
Checkup in the past year80%77.2–82.579.9%77.4%About the same
Dentist visit in the past year55%51.7–57.962.9%63.2%Worse
Cholesterol check in 5 years83.4%81.7–8586.1%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)78.4%76.1–80.679.2%76.5%About the same
Colorectal cancer screening (ages 45–75)61.6%57.1–65.765.2%65.5%About the same
Mammogram in 2 years (women 50–74)74.5%67.5–80.376%76.4%About the same
Mind and connection
Ever told they have depression27.4%24.3–30.725.4%20.6%About the same
Feel lonely37.1%32.6–41.935%32.5%About the same
Lack social and emotional support23.5%20.5–2721.3%23.6%About the same
Everyday needs
Worried about having enough food21%18.7–23.514.1%15%Worse
Worried about keeping housing15.7%13.9–17.711.3%12%Worse
Threatened with a utility shut-off11.8%10.5–13.38.3%7.6%Worse
Lack reliable transportation10.9%9.8–12.27.7%7.9%Worse
Received SNAP (food stamps)19.2%17.1–21.511.7%11.6%Higher
Disability
Any disability33.6%30.2–36.929.5%30.1%Higher
Difficulty walking or climbing stairs16.5%14.8–18.213.9%13.6%Higher
Difficulty concentrating or remembering17.2%15.6–18.913.9%13.9%Higher
Hearing difficulty7.5%6.8–8.26.8%6.7%About the same
Vision difficulty6.5%6–74.8%5.4%Higher
Difficulty doing errands alone10.6%9.7–11.68.1%7.9%Higher
Difficulty dressing or bathing5.1%4.7–5.53.8%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 Ohio figure falls inside that range.

Questions about health in Middletown

Is Middletown a healthy place to live?

On seven CDC estimates for adults, Middletown is healthier than 7% of U.S. towns: D for health, #911 of 993 in Ohio. Among U.S. towns with similar household incomes it’s healthier than 10%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Middletown?

CDC estimates 43.4% of adults have obesity, likely between 38.3% and 48.4%, against 37.1% across Ohio and 32.9% nationally.

What hospital is closest to Middletown?

Atrium Medical Center in Franklin, 2.7 miles in a straight line from Middletown’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Middletown have no health insurance?

CDC estimates 11.1% of adults ages 18–64 have no health insurance (likely 9.8–12.6%), against 8% across Ohio.

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 Middletown 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 Middletown.

Town Square →
Ask your neighbors

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