Among U.S. towns with similar household incomes, Shackle Island is healthier than 10%
Shackle Island differs from Tennessee on 14 of 31 measures CDC estimates: 13 better, 1 worse.
Modeled estimates for adults 18+, CDC’s own estimate for Shackle Island. How CDC estimates town health
What stands out about health in Shackle Island
Against towns with similar incomes, Shackle Island’s lead shrinks
Shackle Island is healthier than 54% of U.S. towns, but 10% of the 4,532 towns with similar household incomes ($98K–$163K). Part of its edge is what towns with its incomes tend to have. Health Grade ↓
Shackle Island looks healthier next to Tennessee than next to the country
It’s healthier than 80% of the 176 Tennessee towns we grade, but 54% of towns nationwide. Much of Tennessee scores low on these measures. Health Grade ↓
Fewer Shackle Island adults struggle to make ends meet
Worries about food, housing, utility bills and getting around all run below Tennessee. 1 in 10 adults worry about having enough food, vs 1 in 6 adults statewide. Everyday needs ↓
Shackle Island is an active town
Only 21.3% of adults get no exercise outside work, vs 26.6% across Tennessee. Habits ↓
COPD and stroke are less common in Shackle Island
Shackle Island runs below Tennessee on COPD (7.1% vs 8.6%) and stroke (3.1% vs 3.7%). A young population is part of it: only 13% of residents are 65 or older (Tennessee 17%). Conditions ↓
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 Tennessee figure falls outside Shackle Island’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C− to A−.
What’s behind Shackle Island’s grade
On seven CDC estimates for adults, Shackle Island is healthier than 54% of U.S. towns, #36 of 176 in Tennessee. No exercise holds the grade up (fewer adults who get no exercise than 77% of U.S. towns); obesity pulls it down (better than 23%).
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). Shackle Island’s median household income is $130,125; among the 4,532 U.S. towns within 25% of that ($98K–$163K), it’s healthier than 10%, less than its income alone would suggest.
Few Tennessee towns score lower on these estimates than towns elsewhere, so within the state Shackle Island is healthier than 80% of graded towns, against 54% nationally.
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
7.5% of Shackle Island adults receive SNAP (food stamps), compared with 14.3% across Tennessee.
Everyday habits, side by side with Tennessee
Share of adults, with the Tennessee figure marked.
Walk with neighbors
The easiest exercise habit to keep is one with company.
Out of every 100 Shackle Island adults…
Shackle Island runs below TN on 4 of 12 conditions and above it on 1. Tap one to see it as people.
Only 13% of Shackle Island residents are 65 or older, vs 17% across Tennessee. Heart disease, COPD and stroke run low partly because the town is young.
Care in and near Shackle Island
No hospital or community health center in Shackle Island itself. These are the nearest.
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 Shackle Island; ≈ 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).
Keeping up with care
Share of Shackle Island adults getting routine care. The full ring is 100%; the dark tick marks Tennessee.
How Shackle Island adults are doing
About the same as Tennessee on each measure.
A hello is a start.
Groups are the easiest way in: a walking group, a book club, your street.
If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.
Shackle Island and the towns around it
How health changes across the town line.
Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|---|---|---|---|---|
| Shackle Island | B− | 39.7% | 11.9% | 14.4% | CDC place |
| Hendersonville | B+ | 38.4% | 10.6% | 12.7% | CDC place |
Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of Shackle Island adults live with a disability (Tennessee 35.8%). Thinking or memory is the most common.
Every CDC estimate for Shackle Island
Share of adults, 39 measures, with CDC’s likely range.
On the 31 measures below that have a better and a worse direction, Shackle Island is better than Tennessee on 13 and worse on 1; on the rest, the Tennessee figure falls inside Shackle Island’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.
| Adults who… | Shackle Island | TN | U.S. | vs TN |
|---|---|---|---|---|
| Overall health | ||||
| Fair or poor health | 17.9%15.3–20.8 | 22.4% | 19.4% | Better |
| Frequent physical distress (physical health not good 14+ days a month) | 13.6%11.8–15.5 | 14.9% | 13% | About the same |
| Frequent mental distress (mental health not good 14+ days a month) | 17.4%15.4–19.6 | 19.3% | 15.9% | About the same |
| Conditions | ||||
| Obesity | 39.7%32.8–46.9 | 37.6% | 32.9% | About the same |
| Diabetes | 11.9%10.2–13.7 | 13.6% | 12% | About the same |
| High blood pressure | 37.2%33.2–41.4 | 39.5% | 34.4% | About the same |
| High cholesterol (adults screened in 5 years) | 41%36.7–45.5 | 38.3% | 37.1% | About the same |
| Arthritis | 32.8%29.4–36.4 | 30.6% | 25.3% | About the same |
| Asthma | 10.7%9.5–12 | 11% | 9.9% | About the same |
| Cancer, other than skin cancer | 9.4%8.5–10.3 | 8.2% | 7.9% | Worse |
| Coronary heart disease | 6.1%5.4–6.9 | 7% | 6.4% | Better |
| COPD | 7.1%6.1–8.3 | 8.6% | 6.3% | Better |
| Stroke | 3.1%2.8–3.5 | 3.7% | 3.4% | Better |
| Lost all teeth (ages 65+) | 8.6%6.8–10.4 | 14.6% | 12.3% | Better |
| Habits | ||||
| Smoke cigarettes | 14.4%12–17.3 | 17.3% | 11.8% | About the same |
| No exercise outside work | 21.3%17.6–25.7 | 26.6% | 24.7% | Better |
| Binge drinking | 14.8%12.2–17.8 | 14.6% | 15.4% | About the same |
| Sleep under 7 hours | 34.6%28.5–40.2 | 38.2% | 36% | About the same |
| Checkups and coverage | ||||
| No health insurance (ages 18–64) | 8%6.4–10 | 11.6% | 11% | Better |
| Checkup in the past year | 79%75.6–82.3 | 78.1% | 77.4% | About the same |
| Dentist visit in the past year | 70.7%67.2–73.6 | 58.1% | 63.2% | Better |
| Cholesterol check in 5 years | 89.9%88.2–91.4 | 86.6% | 87.1% | Better |
| Taking blood pressure medicine (adults with high blood pressure) | 77%73.7–80.1 | 76.2% | 76.5% | About the same |
| Colorectal cancer screening (ages 45–75) | 66.2%60.8–70.8 | 63.2% | 65.5% | About the same |
| Mammogram in 2 years (women 50–74) | 74.6%66.3–80.8 | 75.2% | 76.4% | About the same |
| Mind and connection | ||||
| Ever told they have depression | 29.2%25.5–33.2 | 28.4% | 20.6% | About the same |
| Lack social and emotional support | 24.6%21.3–28.3 | 27.2% | 23.6% | About the same |
| Everyday needs | ||||
| Worried about having enough food | 10.2%9–11.5 | 16.2% | 15% | Better |
| Worried about keeping housing | 9.3%8.1–10.6 | 13.3% | 12% | Better |
| Threatened with a utility shut-off | 6.2%5.4–7.1 | 9.1% | 7.6% | Better |
| Lack reliable transportation | 6.1%5.5–6.8 | 8.9% | 7.9% | Better |
| Received SNAP (food stamps) | 7.5%6.5–8.6 | 14.3% | 11.6% | Lower |
| Disability | ||||
| Any disability | 31%26.9–35.6 | 35.8% | 30.1% | Lower |
| Difficulty walking or climbing stairs | 13.3%11.4–15.5 | 16.3% | 13.6% | Lower |
| Difficulty concentrating or remembering | 14.4%12.6–16.6 | 17.4% | 13.9% | Lower |
| Hearing difficulty | 6.9%6.1–7.8 | 7.6% | 6.7% | About the same |
| Vision difficulty | 3.9%3.5–4.5 | 5.5% | 5.4% | Lower |
| Difficulty doing errands alone | 7.2%6.3–8.3 | 9.5% | 7.9% | Lower |
| Difficulty dressing or bathing | 3.2%2.8–3.6 | 4.1% | 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 Tennessee figure falls inside that range.
Questions about health in Shackle Island
Is Shackle Island a healthy place to live?
On seven CDC estimates for adults, Shackle Island is healthier than 54% of U.S. towns: ≈ B− for health, #36 of 176 in Tennessee. These are modeled estimates of who lives there, not a measure of local care or habits alone.
What is the obesity rate in Shackle Island?
CDC estimates 39.7% of adults have obesity, likely between 32.8% and 46.9%, against 37.6% across Tennessee and 32.9% nationally.
What hospital is closest to Shackle Island?
Tristar Hendersonville Medical Center in Hendersonville, 3.7 miles in a straight line from Shackle Island’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.
How many people in Shackle Island have no health insurance?
CDC estimates 8% of adults ages 18–64 have no health insurance (likely 6.4–10%), against 11.6% across Tennessee.
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 Shackle Island 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 Shackle Island.
Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Tennessee 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.