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Puget Island from the northPhoto: Pete Forsyth · CC BY 3.0
≈ C+Health Grade
Health in Puget Island · CDC PLACES 2025

Among U.S. towns with similar household incomes, Puget Island is healthier than 76%

Puget Island differs from Washington on 19 of 31 measures CDC estimates: 5 better, 14 worse.

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

What stands out · In brief

What stands out about health in Puget Island

Heart disease, COPD and stroke run high in Puget Island

1 in 9 adults have heart disease (10.8%), about twice the Washington rate. 1 in 10 adults have COPD (10%), about twice the Washington rate. Stroke is also above the state: 5.4%, vs 2.9% across Washington. In all, Puget Island runs above Washington on nine of 11 chronic conditions. Age is part of it: 37% of residents are 65 or older (Washington 17%), and heart disease, COPD and stroke are more common later in life. Conditions ↓

More high blood pressure in Puget Island, and more people treating it

45.3% of adults have high blood pressure (Washington 30.5%), but 79.9% of them take medicine for it, vs 70.7% statewide. Checkups ↓

In Puget Island, insurance isn’t the gap

Only 7.2% of working-age adults are uninsured (Washington 8.4%), yet 22.7% say their health is fair or poor, vs 16.3% across the state. Checkups ↓

The nearest ER is 21 miles from Puget Island

The closest emergency room is Columbia Memorial Hospital in Astoria, 20.9 miles away in a straight line. For everyday care, Cowlitz Family Health Center is closer (2.1 mi) and charges on a sliding scale. Getting care ↓

Puget Island is healthier than its income would predict

Against all U.S. towns, Puget Island is healthier than 37%. Against the 5,587 towns with similar household incomes ($37K–$62K), it’s healthier than 76%. 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 Washington figure falls outside Puget Island’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D to B+.

Health Grade

What’s behind Puget Island’s grade

On seven CDC estimates for adults, Puget Island is healthier than 37% of U.S. towns. Mental distress holds the grade up (fewer adults with frequent mental distress than 74% of U.S. towns); physical distress pulls it down (better than 8%).

CSelf-rated health22.7% · WA 16.3% · U.S. 19.4%
DPhysical distress17.7% · WA 12.4% · U.S. 13%
B+Mental distress15.6% · WA 16.4% · U.S. 15.9%
C−Obesity40% · WA 30.6% · U.S. 32.9%
DDiabetes15.6% · WA 9.5% · U.S. 12%
BSmoking13.9% smoke · WA 10.1% · U.S. 11.8%
B+Exercise22.1% · WA 17.9% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 37%
Less healthyHealthier
U.S. towns with similar incomes, $37K–$62K (5,587)Healthier than 76%

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). Puget Island’s median household income is $49,438; among the 5,587 U.S. towns within 25% of that ($37K–$62K), it’s healthier than 76%, more than its income alone would suggest.

Where Puget Island compares well: binge drinking, 12.3% (U.S. 15.4%); taking blood pressure medicine (adults with high blood pressure), 79.9% (U.S. 76.5%); worried about keeping housing, 8.4% (U.S. 12%).

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

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Puget Island adults…

Puget Island runs above WA on 10 of 12 conditions. Tap one to see it as people.

11 of every 100 Puget Island adults have heart disease
Washington: 5 in 100 · worse · likely 9.4–12.4%
Better than WAWorseAbout the sameWashington
Why age matters here

Puget Island is an older town: 37% of residents are 65 or older, vs 17% across Washington. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Puget Island as about how healthy they are.

Residents 65 and older

Puget Island37%
Washington17%
Checkups & screenings

Keeping up with care

Share of Puget Island adults getting routine care. The full ring is 100%; the dark tick marks Washington.

77%Yearly checkupWA 71%
61%Dentist visitWA 67%
89%Cholesterol checkWA 84%
69%Colon screeningWA 66%
69%MammogramWA 74%
80%Taking BP medsWA 71%
1 in 14
working-age adults has no health insurance
Puget Island 7.2% · Washington 1 in 12 (8.4%)
Getting care

Care in and near Puget Island

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

HNearest ERColumbia Memorial HospitalAstoria · 20.9 miDirections →
+Low-cost careCowlitz Family Health CenterCathlamet · 2.1 mi · sliding-scale feesDirections →
2.1 mi
Cowlitz Family Health Center
6 sites · nearest in Cathlamet
Sliding-scale fees
Directions to nearest
9.6 mi
Yakima Valley Farm Workers Clinic
2 sites · nearest in Clatskanie
Sliding-scale fees
Directions to nearest
20.9 mi
Columbia Memorial Hospital
Astoria · not rated
ERRural critical access
21.3 mi
Peacehealth St. John Medical Center
Longview · ★★★★★
ER
28.5 mi
Providence Seaside Hospital
Seaside · ★★★★★
ERRural critical access
33 mi
Ocean Beach Hospital
Ilwaco · ★★★★★
ERRural critical access
✓ Primary careNo HRSA shortage area covers Puget Island itself
✓ Dental careNo HRSA shortage area covers Puget Island itself
✓ Mental healthNo HRSA shortage area covers Puget Island 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 Puget 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).

Habits

Everyday habits, side by side with Washington

Share of adults, with the Washington figure marked.

Get no exercise 22.1%WA 17.9%
Sleep under 7 hours 31.7%WA 31.8%
Binge drink 12.3%WA 16.6%
Smoke cigarettes 13.9%WA 10.1%
0%10%20%30%40%
Puget Island, betterPuget Island, worseAbout the sameWashington
Where Puget Island gets moving

1.1 miles of trails across 3 parks and preserves

Parks & trails →
Mind & connection

How Puget Island adults are doing

About the same as Washington on each measure.

1 in 4Puget Island adults lack social or emotional support
24.8% · WA 28% · About the same as WA
1 in 4Puget Island adults have been diagnosed with depression
25.6% · WA 25.1% · About the same as WA
1 in 6Puget Island adults are in frequent mental distress
15.6% · WA 16.4% · About the same as WA
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 10
Puget Island adults worry about having enough food
9.7% · WA 10.2%
About the same as WA
1 in 12
Puget Island adults worry about keeping their housing
8.4% · WA 9.9%
Better than WA
1 in 20
Puget Island adults were threatened with a utility shut-off
4.9% · WA 5.1%
About the same as WA
1 in 15
Puget Island adults lack reliable transportation
6.7% · WA 7.2%
About the same as WA

12.3% of Puget Island adults receive SNAP (food stamps), compared with 11% across Washington.

Around town

Puget Island and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Puget IslandC+40%15.6%13.9%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

37.7%

of Puget Island adults live with a disability (Washington 27.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs19.4%
Thinking or memory14.5%
Hearing11.8%
Errands alone9.4%
Vision6%
Dressing or bathing5.1%
Washington

Every CDC estimate for Puget Island

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

On the 31 measures below that have a better and a worse direction, Puget Island is better than Washington on 5 and worse on 14; on the rest, the Washington figure falls inside Puget Island’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…Puget IslandWAU.S.vs WA
Overall health
Fair or poor health22.7%19.1–2716.3%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)17.7%15.2–20.312.4%13%Worse
Frequent mental distress (mental health not good 14+ days a month)15.6%13.7–17.816.4%15.9%About the same
Conditions
Obesity40%33.4–46.730.6%32.9%Worse
Diabetes15.6%13.5–189.5%12%Worse
High blood pressure45.3%41.2–49.730.5%34.4%Worse
High cholesterol (adults screened in 5 years)45.1%40.9–49.434.9%37.1%Worse
Arthritis42.2%38.5–46.224.4%25.3%Worse
Asthma11.9%10.5–13.410.7%9.9%About the same
Cancer, other than skin cancer13.7%12.3–15.17.9%7.9%Worse
Coronary heart disease10.8%9.4–12.45.4%6.4%Worse
COPD10%8.3–12.15.1%6.3%Worse
Stroke5.4%4.7–6.22.9%3.4%Worse
Lost all teeth (ages 65+)12.8%10.5–15.39%12.3%Worse
Habits
Smoke cigarettes13.9%11.1–16.910.1%11.8%Worse
No exercise outside work22.1%17.9–26.917.9%24.7%About the same
Binge drinking12.3%10.2–14.716.6%15.4%Better
Sleep under 7 hours31.7%26.5–37.231.8%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.2%5.5–9.28.4%11%About the same
Checkup in the past year77.2%73.7–80.470.7%77.4%Better
Dentist visit in the past year61.2%57.7–64.667%63.2%Worse
Cholesterol check in 5 years88.7%86.9–90.384%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)79.9%76.9–82.870.7%76.5%Better
Colorectal cancer screening (ages 45–75)69.1%64.6–73.166.2%65.5%About the same
Mammogram in 2 years (women 50–74)68.7%60.9–75.974.2%76.4%About the same
Mind and connection
Ever told they have depression25.6%22.3–29.325.1%20.6%About the same
Lack social and emotional support24.8%21.7–28.328%23.6%About the same
Everyday needs
Worried about having enough food9.7%8.6–10.910.2%15%About the same
Worried about keeping housing8.4%7.3–9.59.9%12%Better
Threatened with a utility shut-off4.9%4.3–5.65.1%7.6%About the same
Lack reliable transportation6.7%6.1–7.47.2%7.9%About the same
Received SNAP (food stamps)12.3%10.9–13.811%11.6%About the same
Disability
Any disability37.7%32.8–42.927.1%30.1%Higher
Difficulty walking or climbing stairs19.4%16.3–22.810.9%13.6%Higher
Difficulty concentrating or remembering14.5%12.4–16.913.5%13.9%About the same
Hearing difficulty11.8%10.3–13.36.4%6.7%Higher
Vision difficulty6%5.1–74.1%5.4%Higher
Difficulty doing errands alone9.4%7.9–116.8%7.9%Higher
Difficulty dressing or bathing5.1%4.3–6.13.1%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 Washington figure falls inside that range.

Questions about health in Puget Island

Is Puget Island a healthy place to live?

On seven CDC estimates for adults, Puget Island is healthier than 37% of U.S. towns: ≈ C+ 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 Puget Island?

CDC estimates 40% of adults have obesity, likely between 33.4% and 46.7%, against 30.6% across Washington and 32.9% nationally.

What hospital is closest to Puget Island?

Columbia Memorial Hospital in Astoria, 20.9 miles in a straight line from Puget Island’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Puget Island have no health insurance?

CDC estimates 7.2% of adults ages 18–64 have no health insurance (likely 5.5–9.2%), against 8.4% across Washington.

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 Puget Island 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 Puget Island.

Town Square →
Ask your neighbors

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