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Spencer-Van-Buren-Courthouse-tn1Photo: Brian Stansberry · CC BY 4.0
≈ DHealth Grade
Health in Spencer · CDC PLACES 2025

On CDC estimates, Spencer is healthier than 10% of U.S. towns

Spencer differs from Tennessee on 11 of 31 measures CDC estimates: 1 better, 10 worse.

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

What stands out · In brief

What stands out about health in Spencer

COPD, cancer and heart disease run high in Spencer

1 in 9 adults have COPD (11.7%), vs 8.6% across Tennessee. 1 in 9 adults have had cancer (11%), vs 8.2% across Tennessee. Heart disease is also above the state: 9.2%, vs 7% across Tennessee. In all, Spencer runs above Tennessee on five of 11 chronic conditions. Age is part of it: 30% of residents are 65 or older (Tennessee 17%), and COPD, cancer and heart disease are more common later in life. Conditions ↓

More high blood pressure in Spencer, and more people treating it

45% of adults have high blood pressure (Tennessee 39.5%), but 79.8% of them take medicine for it, vs 76.2% statewide. Checkups ↓

Spencer is healthier than its income would predict

Against all U.S. towns, Spencer is healthier than 11%. Against the 4,549 towns with similar household incomes ($35K–$58K), it’s healthier than 33%. 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 Tennessee figure falls outside Spencer’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to B−.

Health Grade

What’s behind Spencer’s grade

On seven CDC estimates for adults, Spencer is healthier than 10% of U.S. towns. Obesity holds the grade up (fewer adults with obesity than 34% of U.S. towns); physical distress pulls it down (better than 7%).

DSelf-rated health25.7% · TN 22.4% · U.S. 19.4%
DPhysical distress17.9% · TN 14.9% · U.S. 13%
DMental distress19.6% · TN 19.3% · U.S. 15.9%
CObesity38.2% · TN 37.6% · U.S. 32.9%
DDiabetes15.5% · TN 13.6% · U.S. 12%
DSmoking20.4% smoke · TN 17.3% · U.S. 11.8%
C−Exercise30.9% · TN 26.6% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 10%
Less healthyHealthier
U.S. towns with similar incomes, $35K–$58K (4,549)Healthier than 33%

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). Spencer’s median household income is $46,705; among the 4,549 U.S. towns within 25% of that ($35K–$58K), it’s healthier than 33%, so it sits below most towns with similar incomes, too.

Where Spencer compares well: taking blood pressure medicine (adults with high blood pressure), 79.8% (U.S. 76.5%).

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

How TownRatings grades health →

Chronic conditions

Out of every 100 Spencer adults…

Spencer runs above TN on 8 of 12 conditions. Tap one to see it as people.

12 of every 100 Spencer adults have COPD
Tennessee: 9 in 100 · worse · likely 9.6–13.8%
Better than TNWorseAbout the sameTennessee
Why age matters here

Spencer is an older town: 30% of residents are 65 or older, vs 17% across Tennessee. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Spencer as about how healthy they are.

Residents 65 and older

Spencer30%
Tennessee17%
Checkups & screenings

Keeping up with care

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

80%Yearly checkupTN 78%
55%Dentist visitTN 58%
88%Cholesterol checkTN 87%
63%Colon screeningTN 63%
73%MammogramTN 75%
80%Taking BP medsTN 76%
1 in 9
working-age adults has no health insurance
Spencer 11.7% · Tennessee 1 in 9 (11.6%)
Getting care

Care in and near Spencer

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

HNearest ERSaint Thomas Highlands HospitalSparta · 14.5 miDirections →
★Best rated nearbySaint Thomas River Park Hospital★★★★★ · 16.3 miDirections →
+Low-cost careTennessee Department of HealthSpencer · 0.9 mi · sliding-scale feesDirections →
14.5 mi
Saint Thomas Highlands Hospital
Sparta · not rated
ER
16.3 mi
Saint Thomas River Park Hospital
Mcminnville · ★★★★★
ER
17 mi
Erlanger Bledsoe Hospital
Pikeville · not rated
ERRural critical access
17.4 mi
Ocoee Regional Health
2 sites · nearest in Pikeville
Sliding-scale fees
Directions to nearest
25.9 mi
Dekalb Community Hospital
Smithville · not rated
ER
✓ Primary careNo HRSA shortage area covers Spencer itself
✓ Dental careNo HRSA shortage area covers Spencer itself
✓ Mental healthNo HRSA shortage area covers Spencer 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 Spencer; ≈ 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 Tennessee

Share of adults, with the Tennessee figure marked.

Get no exercise 30.9%TN 26.6%
Sleep under 7 hours 37.4%TN 38.2%
Binge drink 12.9%TN 14.6%
Smoke cigarettes 20.4%TN 17.3%
0%10%20%30%40%
Spencer, betterSpencer, worseAbout the sameTennessee
Where Spencer gets moving

0.8 miles of trails across 1 park or preserve

Parks & trails →
Mind & connection

How Spencer adults are doing

About the same as Tennessee on each measure.

1 in 4Spencer adults lack social or emotional support
27.1% · TN 27.2% · About the same as TN
3 in 10Spencer adults have been diagnosed with depression
29.6% · TN 28.4% · About the same as TN
1 in 5Spencer adults are in frequent mental distress
19.6% · TN 19.3% · About the same as TN
The one neighbors can help with

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 5
Spencer adults worry about having enough food
19.1% · TN 16.2%
Worse than TN
1 in 7
Spencer adults worry about keeping their housing
13.6% · TN 13.3%
About the same as TN
1 in 11
Spencer adults were threatened with a utility shut-off
9.3% · TN 9.1%
About the same as TN
1 in 10
Spencer adults lack reliable transportation
9.9% · TN 8.9%
About the same as TN

18.5% of Spencer adults receive SNAP (food stamps), compared with 14.3% across Tennessee.

Around town

Spencer and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
SpencerD38.2%15.5%20.4%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

41.5%

of Spencer adults live with a disability (Tennessee 35.8%). Walking or climbing stairs is the most common.

Walking or climbing stairs20.8%
Thinking or memory18.5%
Hearing10.2%
Errands alone10.9%
Vision6.1%
Dressing or bathing4.8%
Tennessee

Every CDC estimate for Spencer

Share of adults, 39 measures, with CDC’s likely range.

On the 31 measures below that have a better and a worse direction, Spencer is better than Tennessee on 1 and worse on 10; on the rest, the Tennessee figure falls inside Spencer’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…SpencerTNU.S.vs TN
Overall health
Fair or poor health25.7%21.3–29.922.4%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)17.9%15.3–20.514.9%13%Worse
Frequent mental distress (mental health not good 14+ days a month)19.6%17.1–22.219.3%15.9%About the same
Conditions
Obesity38.2%29.5–47.537.6%32.9%About the same
Diabetes15.5%13.2–17.913.6%12%About the same
High blood pressure45%40.3–49.939.5%34.4%Worse
High cholesterol (adults screened in 5 years)43.8%39–48.738.3%37.1%Worse
Arthritis38.4%34.5–42.530.6%25.3%Worse
Asthma11.2%9.8–12.711%9.9%About the same
Cancer, other than skin cancer11%9.9–12.38.2%7.9%Worse
Coronary heart disease9.2%8–10.57%6.4%Worse
COPD11.7%9.6–13.88.6%6.3%Worse
Stroke4.7%4–5.33.7%3.4%Worse
Lost all teeth (ages 65+)19%15.5–22.714.6%12.3%Worse
Habits
Smoke cigarettes20.4%16.8–24.317.3%11.8%About the same
No exercise outside work30.9%24.9–36.826.6%24.7%About the same
Binge drinking12.9%10.3–15.714.6%15.4%About the same
Sleep under 7 hours37.4%30.4–44.938.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)11.7%9–14.911.6%11%About the same
Checkup in the past year79.7%76–83.178.1%77.4%About the same
Dentist visit in the past year54.7%51–58.558.1%63.2%About the same
Cholesterol check in 5 years87.9%85.9–89.786.6%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)79.8%76.7–82.576.2%76.5%Better
Colorectal cancer screening (ages 45–75)62.8%57.6–67.863.2%65.5%About the same
Mammogram in 2 years (women 50–74)72.8%64.4–80.275.2%76.4%About the same
Mind and connection
Ever told they have depression29.6%25.4–34.128.4%20.6%About the same
Lack social and emotional support27.1%23.4–3127.2%23.6%About the same
Everyday needs
Worried about having enough food19.1%17.1–21.216.2%15%Worse
Worried about keeping housing13.6%12–15.313.3%12%About the same
Threatened with a utility shut-off9.3%8.1–10.69.1%7.6%About the same
Lack reliable transportation9.9%8.9–10.98.9%7.9%About the same
Received SNAP (food stamps)18.5%16.3–20.614.3%11.6%Higher
Disability
Any disability41.5%35.7–47.335.8%30.1%About the same
Difficulty walking or climbing stairs20.8%17.2–24.116.3%13.6%Higher
Difficulty concentrating or remembering18.5%15.7–21.217.4%13.9%About the same
Hearing difficulty10.2%8.9–11.57.6%6.7%Higher
Vision difficulty6.1%5.1–7.15.5%5.4%About the same
Difficulty doing errands alone10.9%9.1–12.79.5%7.9%About the same
Difficulty dressing or bathing4.8%4–5.74.1%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 Tennessee figure falls inside that range.

Questions about health in Spencer

Is Spencer a healthy place to live?

On seven CDC estimates for adults, Spencer is healthier than 10% of U.S. towns: ≈ D for health. Among U.S. towns with similar household incomes it’s healthier than 33%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Spencer?

CDC estimates 38.2% of adults have obesity, likely between 29.5% and 47.5%, against 37.6% across Tennessee and 32.9% nationally.

What hospital is closest to Spencer?

Saint Thomas Highlands Hospital in Sparta, 14.5 miles in a straight line from Spencer’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Spencer have no health insurance?

CDC estimates 11.7% of adults ages 18–64 have no health insurance (likely 9–14.9%), 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 Spencer 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 Spencer.

Town Square →
Ask your neighbors

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.