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Salem VA downtownPhoto: Mojo Hand · CC BY-SA 3.0
≈ BHealth Grade
Health in Salem · CDC PLACES 2025

Among U.S. towns with similar household incomes, Salem is healthier than 79%

Salem differs from Virginia on 6 of 32 measures CDC estimates: 1 better, 5 worse.

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

What stands out · In brief

What stands out about health in Salem

Cancer and COPD run high in Salem

1 in 11 adults have had cancer (9.4%), vs 7.7% across Virginia. 1 in 14 adults have COPD (7.3%), vs 6.2% across Virginia. Conditions ↓

Salem is healthier than its income would predict

Against all U.S. towns, Salem is healthier than 59%. Against the 10,163 towns with similar household incomes ($50K–$83K), it’s healthier than 79%. 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 Virginia figure falls outside Salem’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C− to A−.

Health Grade

What’s behind Salem’s grade

On seven CDC estimates for adults, Salem is healthier than 59% of U.S. towns, #148 of 253 in Virginia. Smoking holds the grade up (fewer adults who smoke than 68% of U.S. towns); diabetes pulls it down (better than 46%).

BSelf-rated health18.1% · VA 18.1% · U.S. 19.4%
BPhysical distress13.8% · VA 12.8% · U.S. 13%
B−Mental distress17% · VA 15.9% · U.S. 15.9%
BObesity35% · VA 34.5% · U.S. 32.9%
B−Diabetes12.3% · VA 12.5% · U.S. 12%
B+Smoking12.9% smoke · VA 12.2% · U.S. 11.8%
BExercise24.1% · VA 23.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 59%
Less healthyHealthier
Virginia towns we grade (253)Healthier than 42%
U.S. towns with similar incomes, $50K–$83K (10,163)Healthier than 79%

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). Salem’s median household income is $66,725; among the 10,163 U.S. towns within 25% of that ($50K–$83K), it’s healthier than 79%, more than its income alone would suggest.

Most Virginia towns score higher on these estimates than towns elsewhere, so within the state Salem is healthier than 42% of graded towns, against 59% nationally.

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

How TownRatings grades health →

Chronic conditions

Out of every 100 Salem adults…

Salem runs above VA on 5 of 12 conditions. Tap one to see it as people.

9 of every 100 Salem adults have had cancer
Virginia: 8 in 100 · worse · likely 8.6–10.2%
Better than VAWorseAbout the sameVirginia
Getting care

Care in and near Salem

2 hospitals in Salem, plus the nearest just outside it.

HNearest ERLewisgale Medical CenterSalem · 1.9 miDirections →
★Best rated nearbyCarilion Medical Center★★★★★ · 6.6 miDirections →
+Low-cost careKuumba Community Health & Wellness CenterRoanoke · 3.2 mi · sliding-scale feesDirections →
1.9 mi
Lewisgale Medical Center
Salem · ★★★★★
ERIn Salem
1.9 mi
Salem VA Medical Center
Salem · ★★★★★
ERFor veteransIn Salem
3.2 mi
Kuumba Community Health & Wellness Center
2 sites · nearest in Roanoke
Sliding-scale fees
Directions to nearest
6.6 mi
Carilion Medical Center
Roanoke · ★★★★★
ER
15.4 mi
Monroe County Health Department
2 sites · nearest in New Castle
Sliding-scale fees
Directions to nearest
20.6 mi
Lewisgale Hospital Montgomery
Blacksburg · ★★★★★
ER
✓ Primary careSalem is not a shortage area
✓ Dental careNo HRSA shortage area covers Salem itself
✓ Mental healthNo HRSA shortage area covers Salem 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 Salem; ≈ 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 24.1%VA 23.8%
Sleep under 7 hours 36.4%VA 36%
Binge drink 15%VA 14.5%
Smoke cigarettes 12.9%VA 12.2%
0%10%20%30%40%
Salem, betterSalem, worseAbout the sameVirginia
Where Salem gets moving

4.8 miles of trails across 5 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

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

79%Yearly checkupVA 79%
69%Dentist visitVA 68%
87%Cholesterol checkVA 88%
70%Colon screeningVA 67%
77%MammogramVA 79%
79%Taking BP medsVA 77%
1 in 13
working-age adults has no health insurance
Salem 7.6% · Virginia 1 in 11 (8.7%)
Mind & connection

How Salem adults are doing

About the same as Virginia on each measure.

1 in 3Salem adults feel lonely
33.4% · VA 33.8% · About the same as VA
1 in 5Salem adults lack social or emotional support
19.5% · VA 21.6% · About the same as VA
1 in 4Salem adults have been diagnosed with depression
24.8% · VA 21.8% · About the same as VA
1 in 6Salem adults are in frequent mental distress
17% · VA 15.9% · About the same as VA
The one neighbors can help with

1 in 3 Salem 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
Salem adults worry about having enough food
11.5% · VA 13.1%
About the same as VA
1 in 11
Salem adults worry about keeping their housing
9.2% · VA 10.9%
Better than VA
1 in 16
Salem adults were threatened with a utility shut-off
6.2% · VA 7.1%
About the same as VA
1 in 14
Salem adults lack reliable transportation
6.9% · VA 7.4%
About the same as VA

9.5% of Salem adults receive SNAP (food stamps), compared with 10.7% across Virginia.

Around town

Salem and the towns around it

Salem’s Health Grade ranks 2nd of 3 graded towns around it.

Roanoke: 41.9%Glenvar: 31.5%Cave Spring: 33.1%Vinton: 36.6%Hollins: 35.9%Salem: 35%SalemRoanokeGlenvarCave SpringLewisgale Medical Center · Salem · 1.9 mi · 2★ MedicareHSalem VA Medical Center · Salem · 1.9 mi · 4★ MedicareHCarilion Medical Center · Roanoke · 6.6 mi · 3★ MedicareHKuumba Community Health and Wellness Center, Inc. D/B/A New Horizons Healthcare · Roanoke · 3.2 mi+
Healthier than VANear VALess healthyHHospital+Health center
Obesity
#3 of 6 towns on this map, healthiest first
Glenvar31.5%
Cave Spring33.1%
Salem35%
Roanoke41.9%
VA34.5%

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
SalemB35%12.3%12.9%CDC place
RoanokeC−41.9%14.9%16.7%CDC place
Glenvar————
Cave SpringA−33.1%11.3%10.5%CDC place

Glenvar: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

32.6%

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

Walking or climbing stairs14.8%
Thinking or memory15%
Hearing7.6%
Errands alone8.3%
Vision4.6%
Dressing or bathing3.5%
Virginia

Every CDC estimate for Salem

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

On the 32 measures below that have a better and a worse direction, Salem is better than Virginia on 1 and worse on 5; on the rest, the Virginia figure falls inside Salem’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…SalemVAU.S.vs VA
Overall health
Fair or poor health18.1%15.9–20.618.1%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)13.8%12.3–15.612.8%13%About the same
Frequent mental distress (mental health not good 14+ days a month)17%15.2–19.115.9%15.9%About the same
Conditions
Obesity35%28.2–42.534.5%32.9%About the same
Diabetes12.3%10.8–1412.5%12%About the same
High blood pressure36.1%32.4–4035.4%34.4%About the same
High cholesterol (adults screened in 5 years)39.2%35.3–43.338%37.1%About the same
Arthritis30%27–33.126.2%25.3%Worse
Asthma10.9%9.7–12.210.4%9.9%About the same
Cancer, other than skin cancer9.4%8.6–10.27.7%7.9%Worse
Coronary heart disease7%6.3–7.76.1%6.4%Worse
COPD7.3%6.5–8.26.2%6.3%Worse
Stroke3.6%3.3–3.93.3%3.4%About the same
Lost all teeth (ages 65+)13.9%11.3–16.811.1%12.3%Worse
Habits
Smoke cigarettes12.9%11.2–1512.2%11.8%About the same
No exercise outside work24.1%20.5–28.323.8%24.7%About the same
Binge drinking15%12.5–17.814.5%15.4%About the same
Sleep under 7 hours36.4%29.9–43.336%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.6%6.4–98.7%11%About the same
Checkup in the past year79.2%76–82.379.2%77.4%About the same
Dentist visit in the past year68.7%65.4–7267.9%63.2%About the same
Cholesterol check in 5 years86.9%85.1–88.587.5%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)78.6%76–80.976.8%76.5%About the same
Colorectal cancer screening (ages 45–75)69.8%65–74.367.4%65.5%About the same
Mammogram in 2 years (women 50–74)77%69.3–83.478.6%76.4%About the same
Mind and connection
Ever told they have depression24.8%21.4–28.421.8%20.6%About the same
Feel lonely33.4%28.5–3933.8%32.5%About the same
Lack social and emotional support19.5%16.5–2321.6%23.6%About the same
Everyday needs
Worried about having enough food11.5%9.6–13.513.1%15%About the same
Worried about keeping housing9.2%7.8–10.810.9%12%Better
Threatened with a utility shut-off6.2%5.3–7.17.1%7.6%About the same
Lack reliable transportation6.9%6–7.97.4%7.9%About the same
Received SNAP (food stamps)9.5%8–11.210.7%11.6%About the same
Disability
Any disability32.6%28.7–36.830%30.1%About the same
Difficulty walking or climbing stairs14.8%13.1–16.813.5%13.6%About the same
Difficulty concentrating or remembering15%13.3–16.814%13.9%About the same
Hearing difficulty7.6%6.8–8.56.4%6.7%Higher
Vision difficulty4.6%4.2–5.14.7%5.4%About the same
Difficulty doing errands alone8.3%7.5–9.37.7%7.9%About the same
Difficulty dressing or bathing3.5%3.2–3.93.5%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 Salem

Is Salem a healthy place to live?

On seven CDC estimates for adults, Salem is healthier than 59% of U.S. towns: ≈ B for health, #148 of 253 in Virginia. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Salem?

CDC estimates 35% of adults have obesity, likely between 28.2% and 42.5%, against 34.5% across Virginia and 32.9% nationally.

What hospital is closest to Salem?

Lewisgale Medical Center in Salem, 1.9 miles in a straight line from Salem’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Salem have no health insurance?

CDC estimates 7.6% of adults ages 18–64 have no health insurance (likely 6.4–9%), 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 Salem 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 Salem.

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.