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Cedar Creek Battlefield and Belle GroveCedar Creek Battlefield and Belle Grove · Photo: APK · CC BY-SA 4.0
≈ B−Health Grade
Health in Middletown · CDC PLACES 2025

Among U.S. towns with similar household incomes, Middletown is healthier than 71%

Middletown trails Virginia on 1 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

What stands out about health in Middletown

Health Grade

What’s behind Middletown’s grade

On seven CDC estimates for adults, Middletown is healthier than 46% of U.S. towns. Diabetes holds the grade up (fewer adults with diabetes than 59% of U.S. towns); obesity pulls it down (better than 28%).

B−Self-rated health19% · VA 18.1% · U.S. 19.4%
B−Physical distress14.1% · VA 12.8% · U.S. 13%
CMental distress18.1% · VA 15.9% · U.S. 15.9%
CObesity39.1% · VA 34.5% · U.S. 32.9%
BDiabetes11.5% · VA 12.5% · U.S. 12%
B−Smoking14.9% smoke · VA 12.2% · U.S. 11.8%
B−Exercise25.3% · VA 23.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 46%
Less healthyHealthier
U.S. towns with similar incomes, $45K–$75K (9,007)Healthier than 71%

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 $60,288; among the 9,007 U.S. towns within 25% of that ($45K–$75K), it’s healthier than 71%, 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, Middletown could be anywhere from D to A−. The letter shows with “≈”.

How TownRatings grades health →

Chronic conditions

Out of every 100 Middletown adults…

On every condition, Middletown is about the same as Virginia. Tap one to see it as people.

34 of every 100 Middletown adults have high blood pressure
Virginia: 35 in 100 · about the same · likely 30.4–38.5%
Better than VAWorseAbout the sameVirginia
Why age matters in Middletown

Only 12% of Middletown residents are 65 or older, vs 17% across Virginia. Age-related conditions run low partly because the town is young.

Residents 65 and older

Middletown12%
Virginia17%
Getting care

Care in and near Middletown

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

HNearest ERWarren Memorial HospitalFront Royal · 8.7 miDirections →
★Best rated nearbyWinchester Medical Center★★★★★ · 12.3 miDirections →
+Low-cost careShenandoah Valley Medical SystemWinchester · 12.3 mi · sliding-scale feesDirections →
8.7 mi
Warren Memorial Hospital
Front Royal · ★★★★★
ER
12.3 mi
Winchester Medical Center
Winchester · ★★★★★
ER
12.3 mi
Shenandoah Valley Medical System
4 sites · nearest in Winchester
Sliding-scale fees
Directions to nearest
16.5 mi
Shenandoah Memorial Hospital
Woodstock · ★★★★★
ERRural critical access
17.2 mi
E. A. Hawse Health Center
4 sites · nearest in Wardensville
Sliding-scale fees
Directions to nearest
29.2 mi
Jefferson Medical Center
Ranson · ★★★★★
ERRural critical access
✓ Primary careNo HRSA shortage area covers Middletown itself
✓ Dental careNo HRSA shortage area covers Middletown itself
✓ 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).

Habits

Everyday habits, side by side with Virginia

Share of adults, with the Virginia figure marked.

Get no exercise 25.3%VA 23.8%
Sleep under 7 hours 37.6%VA 36%
Binge drink 15.6%VA 14.5%
Smoke cigarettes 14.9%VA 12.2%
0%10%20%30%40%
Middletown, betterMiddletown, worseAbout the sameVirginia
Where Middletown gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Checkups & screenings

Keeping up with care

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

78%Yearly checkupVA 79%
62%Dentist visitVA 68%
86%Cholesterol checkVA 88%
69%Colon screeningVA 67%
80%MammogramVA 79%
76%Taking BP medsVA 77%
1 in 11
working-age adults has no health insurance
Middletown 9.5% · Virginia 1 in 11 (8.7%)
Mind & connection

How Middletown adults are doing

About the same as Virginia on each measure.

1 in 3Middletown adults feel lonely
33.5% · VA 33.8% · About the same as VA
1 in 5Middletown adults lack social or emotional support
21.8% · VA 21.6% · About the same as VA
1 in 4Middletown adults have been diagnosed with depression
24.2% · VA 21.8% · About the same as VA
1 in 6Middletown adults are in frequent mental distress
18.1% · VA 15.9% · About the same as VA
The one neighbors can help with

1 in 3 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.

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 8
Middletown adults worry about having enough food
13.3% · VA 13.1%
About the same as VA
1 in 9
Middletown adults worry about keeping their housing
10.9% · VA 10.9%
About the same as VA
1 in 14
Middletown adults were threatened with a utility shut-off
7% · VA 7.1%
About the same as VA
1 in 13
Middletown adults lack reliable transportation
7.5% · VA 7.4%
About the same as VA

11% of Middletown adults receive SNAP (food stamps), compared with 10.7% across Virginia.

Around town

Middletown and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
MiddletownB−39.1%11.5%14.9%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

31.1%

of Middletown adults live with a disability (Virginia 30%). Thinking or memory is the most common.

Walking or climbing stairs14.1%
Thinking or memory16.2%
Hearing6.9%
Errands alone8.6%
Vision4.8%
Dressing or bathing3.6%
Virginia

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 Virginia on 0 and worse on 1; on the rest, the Virginia 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…MiddletownVAU.S.vs VA
Overall health
Fair or poor health19%15.8–22.718.1%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)14.1%12–16.312.8%13%About the same
Frequent mental distress (mental health not good 14+ days a month)18.1%15.8–20.615.9%15.9%About the same
Conditions
Obesity39.1%31.9–46.934.5%32.9%About the same
Diabetes11.5%9.8–13.412.5%12%About the same
High blood pressure34.3%30.4–38.535.4%34.4%About the same
High cholesterol (adults screened in 5 years)36.9%32.8–41.238%37.1%About the same
Arthritis26.3%23.1–29.626.2%25.3%About the same
Asthma11%9.7–12.510.4%9.9%About the same
Cancer, other than skin cancer8.1%7.3–97.7%7.9%About the same
Coronary heart disease6.3%5.5–7.26.1%6.4%About the same
COPD7.3%6–8.76.2%6.3%About the same
Stroke3.4%2.9–3.83.3%3.4%About the same
Lost all teeth (ages 65+)11%8.9–13.211.1%12.3%About the same
Habits
Smoke cigarettes14.9%11.7–18.412.2%11.8%About the same
No exercise outside work25.3%20.5–30.723.8%24.7%About the same
Binge drinking15.6%12.7–18.814.5%15.4%About the same
Sleep under 7 hours37.6%31.5–43.936%36%About the same
Checkups and coverage
No health insurance (ages 18–64)9.5%7.5–11.88.7%11%About the same
Checkup in the past year77.8%73.9–81.379.2%77.4%About the same
Dentist visit in the past year62%58.4–65.567.9%63.2%Worse
Cholesterol check in 5 years85.9%83.3–88.187.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)75.9%72.8–78.876.8%76.5%About the same
Colorectal cancer screening (ages 45–75)69.2%64.4–73.667.4%65.5%About the same
Mammogram in 2 years (women 50–74)80.4%74.1–85.978.6%76.4%About the same
Mind and connection
Ever told they have depression24.2%20.7–28.121.8%20.6%About the same
Feel lonely33.5%28–39.533.8%32.5%About the same
Lack social and emotional support21.8%18–25.921.6%23.6%About the same
Everyday needs
Worried about having enough food13.3%10.3–16.713.1%15%About the same
Worried about keeping housing10.9%8.7–13.310.9%12%About the same
Threatened with a utility shut-off7%5.7–8.37.1%7.6%About the same
Lack reliable transportation7.5%6.2–97.4%7.9%About the same
Received SNAP (food stamps)11%8.3–13.810.7%11.6%About the same
Disability
Any disability31.1%26.4–36.230%30.1%About the same
Difficulty walking or climbing stairs14.1%11.7–16.713.5%13.6%About the same
Difficulty concentrating or remembering16.2%13.6–1914%13.9%About the same
Hearing difficulty6.9%5.9–7.86.4%6.7%About the same
Vision difficulty4.8%4.1–5.54.7%5.4%About the same
Difficulty doing errands alone8.6%7.1–10.17.7%7.9%About the same
Difficulty dressing or bathing3.6%3.1–4.33.5%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 Virginia 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 46% 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 Middletown?

CDC estimates 39.1% of adults have obesity, likely between 31.9% and 46.9%, against 34.5% across Virginia and 32.9% nationally.

What hospital is closest to Middletown?

Warren Memorial Hospital in Front Royal, 8.7 miles in a straight line from Middletown’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Middletown have no health insurance?

CDC estimates 9.5% of adults ages 18–64 have no health insurance (likely 7.5–11.8%), against 8.7% across Virginia.

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 A−.

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 Virginia 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.