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Twilight WV Post OfficePhoto: Coal town guy · CC BY-SA 4.0
–Not graded
Health in Twilight · CDC PLACES 2025

Where Twilight residents get care

CDC publishes only some of its health estimates for Twilight, not the seven a Health Grade needs; here is what we do have.

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

What stands out · In brief

What stands out about health in Twilight

Making ends meet is harder in Twilight

1 in 4 adults worry about having enough food (27%), vs 16.2% across West Virginia. No reliable transportation (13.9% vs 8.9%) and housing insecurity (17.8% vs 12.4%) are higher too. 32.3% of adults receive SNAP, vs 17.8% statewide. Everyday needs ↓

Mental distress runs high in Twilight

1 in 4 adults are in frequent mental distress (27.3%), vs 21.1% across West Virginia. Depression is above the state too: 35.5%, vs 30.4% across West Virginia. Mind & connection ↓

Dental care lags in Twilight

48.6% of adults saw a dentist this year, vs 55.5% across West Virginia. Among those 65 and older, 28.1% have lost all their teeth (West Virginia 19.5%). Checkups ↓

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 West Virginia figure falls outside Twilight’s likely range.

★ What stands out · 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 4
Twilight adults worry about having enough food
27% · WV 16.2%
Worse than WV
1 in 6
Twilight adults worry about keeping their housing
17.8% · WV 12.4%
Worse than WV
1 in 6
Twilight adults were threatened with a utility shut-off
15.7% · WV 11%
Worse than WV
1 in 7
Twilight adults lack reliable transportation
13.9% · WV 8.9%
Worse than WV

32.3% of Twilight adults receive SNAP (food stamps), compared with 17.8% across West Virginia.

Mind & connection

How Twilight adults are doing

On 2 of 4 measures, Twilight runs above West Virginia.

4 in 10Twilight adults feel lonely
37.1% · WV 33.8% · About the same as WV
1 in 4Twilight adults lack social or emotional support
26% · WV 23% · About the same as WV
1 in 3Twilight adults have been diagnosed with depression
35.5% · WV 30.4% · Worse than WV
1 in 4Twilight adults are in frequent mental distress
27.3% · WV 21.1% · Worse than WV
The one neighbors can help with

4 in 10 Twilight 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.

Checkups & screenings

Keeping up with care

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

78%Yearly checkupWV 81%
49%Dentist visitWV 56%
79%Cholesterol checkWV 87%
64%Colon screeningWV 67%
73%MammogramWV 76%
76%Taking BP medsWV 80%
1 in 8
working-age adults has no health insurance
Twilight 13% · West Virginia 1 in 12 (8.5%)
Chronic conditions

Out of every 100 Twilight adults…

Twilight runs below WV on 1 of 12 conditions and above it on 3. Tap one to see it as people.

14 of every 100 Twilight adults have COPD
West Virginia: 11 in 100 · worse · likely 11.6–17.6%
Better than WVWorseAbout the sameWest Virginia
Getting care

Care in and near Twilight

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

HNearest ERBoone Memorial HospitalMadison · 13.4 miDirections →
★Best rated nearbyBoone Memorial Hospital★★★★★ · 13.4 miDirections →
+Low-cost careLincoln County Primary Care CenterWharton · 3.7 mi · sliding-scale feesDirections →
3.7 mi
Lincoln County Primary Care Center
5 sites · nearest in Wharton
Sliding-scale fees
Directions to nearest
13.4 mi
Boone Memorial Hospital
Madison · ★★★★★
ERRural critical access
14.7 mi
Familycare Health Center - Madison
Madison · community health center
Sliding-scale fees
21.4 mi
Logan Regional Medical Center
Logan · ★★★★★
ER
23.8 mi
Montgomery General Hospital
Montgomery · not rated
ERRural critical access
24.4 mi
Raleigh General Hospital
Beckley · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Twilight itself
✓ Dental careNo HRSA shortage area covers Twilight itself
✓ Mental healthNo HRSA shortage area covers Twilight 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 Twilight; ≈ 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 West Virginia

Share of adults, with the West Virginia figure marked.

Get no exercise 42.4%WV 32.8%
Sleep under 7 hours 44.3%WV 40.7%
Binge drink 13.9%WV 14.1%
Smoke cigarettes 26.6%WV 19.3%
0%10%20%30%40%50%
Twilight, betterTwilight, worseAbout the sameWest Virginia
Where Twilight gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Around town

Twilight and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from

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

Disability

Living with a disability

Shown without a better/worse judgment.

48%

of Twilight adults live with a disability (West Virginia 39.2%). Thinking or memory is the most common.

Walking or climbing stairs21.4%
Thinking or memory26.5%
Hearing10.2%
Errands alone15.5%
Vision7.8%
Dressing or bathing5.6%
West Virginia

Questions about health in Twilight

Why doesn’t Twilight have a Health Grade?

Every Health Grade is built from seven of CDC’s PLACES estimates, and CDC doesn’t publish all seven for Twilight.

What hospital is closest to Twilight?

Boone Memorial Hospital in Madison, 13.4 miles in a straight line from Twilight’s center point, is the nearest general hospital with an emergency room. Medicare rates it 4 of 5 stars.

Where can I get low-cost care near Twilight?

2 community health center sites are within 10 miles; the nearest is Southern West Virginia Health System - Wharton in Wharton, 3.7 miles away. They charge on a sliding scale by income.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Twilight.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The West Virginia figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. 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.