State index
Alabama
Environmental and community health profiles for all 67 counties in Alabama. Sorted by opportunity score (highest need first).
67
Counties
58
Avg opportunity score
21
Converging-risk counties
What the data shows in Alabama
Across Alabama's 67 counties, 21 have two or more of the four health-risk areas (environmental, disease, provider access, and social conditions) above the national threshold at the same time. These are the places where several pressures land together rather than one at a time.
Statewide, the health-risk area scoring highest on average is gaps in provider access, the leading driver of community health need in Alabama.
The most widespread specific risk pattern is Heat Vulnerability, triggered in 44 counties, followed by Industrial Burden in 30 counties.
Greene County carries the highest overall need in the state, with an opportunity score of 71 out of 100 (high). Higher scores mean more burden relative to the rest of the country.
| County | Opportunity | Env | Disease | Provider | Social | Pop |
|---|---|---|---|---|---|---|
| Greene County 01063 | 71 | 26 | 75 | 95 | 78 | 7,341 |
| Clay County 01027 | 71 | 52 | 72 | 81 | 62 | 14,111 |
| Russell County 01113 | 70 | 61 | 57 | 81 | 73 | 58,744 |
| Etowah County 01055 | 69 | 68 | 64 | 78 | 56 | 103,241 |
| Lowndes County 01085 | 68 | 27 | 73 | 85 | 85 | 9,717 |
| Perry County 01105 | 68 | 27 | 76 | 90 | 64 | 7,738 |
| Bullock County 01011 | 68 | 25 | 72 | 86 | 84 | 9,897 |
| Dallas County 01047 | 66 | 26 | 71 | 82 | 76 | 36,165 |
| Sumter County 01119 | 66 | 35 | 64 | 82 | 79 | 11,727 |
| Barbour County 01005 | 66 | 26 | 69 | 85 | 70 | 24,585 |
| Hale County 01065 | 66 | 28 | 67 | 84 | 72 | 14,888 |
| Winston County 01133 | 65 | 23 | 78 | 85 | 58 | 23,611 |
| Choctaw County 01023 | 65 | 21 | 76 | 74 | 74 | 12,252 |
| Jackson County 01071 | 65 | 41 | 73 | 79 | 54 | 53,467 |
| Wilcox County 01131 | 65 | 19 | 76 | 74 | 84 | 9,944 |
| Fayette County 01057 | 65 | 26 | 74 | 78 | 64 | 15,967 |
| DeKalb County 01049 | 64 | 44 | 65 | 78 | 58 | 72,569 |
| Conecuh County 01035 | 64 | 19 | 79 | 73 | 67 | 11,174 |
| Coosa County 01037 | 63 | 36 | 73 | 72 | 57 | 10,268 |
| Franklin County 01059 | 63 | 31 | 64 | 78 | 65 | 31,802 |
| Marengo County 01091 | 63 | 19 | 67 | 85 | 65 | 18,684 |
| Lamar County 01075 | 63 | 30 | 75 | 76 | 55 | 13,661 |
| Macon County 01087 | 62 | 27 | 61 | 80 | 72 | 18,370 |
| Clarke County 01025 | 62 | 20 | 66 | 87 | 62 | 22,337 |
| Butler County 01013 | 61 | 17 | 70 | 80 | 63 | 18,382 |
| Cleburne County 01029 | 61 | 41 | 62 | 71 | 59 | 15,639 |
| Monroe County 01099 | 61 | 16 | 74 | 81 | 57 | 19,229 |
| Randolph County 01111 | 61 | 21 | 66 | 85 | 59 | 22,786 |
| Pickens County 01107 | 61 | 27 | 63 | 81 | 61 | 18,688 |
| Bibb County 01007 | 61 | 28 | 63 | 84 | 57 | 21,868 |
| Montgomery County 01101 | 61 | 54 | 43 | 80 | 62 | 224,980 |
| Walker County 01127 | 61 | 25 | 67 | 78 | 61 | 64,728 |
| Chambers County 01017 | 61 | 18 | 66 | 79 | 66 | 34,079 |
| Cherokee County 01019 | 61 | 26 | 75 | 79 | 50 | 25,666 |
| Talladega County 01121 | 60 | 32 | 61 | 77 | 60 | 81,132 |
| Jefferson County 01073 | 60 | 64 | 35 | 79 | 62 | 662,895 |
| Crenshaw County 01041 | 60 | 16 | 64 | 83 | 64 | 13,101 |
| Morgan County 01103 | 59 | 62 | 48 | 77 | 49 | 125,133 |
| Henry County 01067 | 59 | 21 | 67 | 83 | 54 | 17,899 |
| Mobile County 01097 | 59 | 47 | 42 | 80 | 62 | 411,640 |
| Marion County 01093 | 59 | 25 | 73 | 74 | 50 | 29,244 |
| Lawrence County 01079 | 58 | 34 | 64 | 75 | 51 | 33,502 |
| Washington County 01129 | 57 | 21 | 66 | 71 | 58 | 15,022 |
| Calhoun County 01015 | 57 | 31 | 54 | 77 | 58 | 116,429 |
| Blount County 01009 | 57 | 32 | 53 | 81 | 55 | 59,816 |
| Colbert County 01033 | 56 | 34 | 57 | 80 | 49 | 58,361 |
| Tallapoosa County 01123 | 55 | 14 | 68 | 76 | 52 | 40,677 |
| Geneva County 01061 | 55 | 20 | 72 | 56 | 57 | 26,988 |
| Marshall County 01095 | 53 | 32 | 51 | 80 | 47 | 100,756 |
| Cullman County 01043 | 53 | 32 | 52 | 79 | 47 | 92,016 |
| Escambia County 01053 | 53 | 17 | 73 | 41 | 64 | 36,558 |
| Dale County 01045 | 52 | 18 | 58 | 76 | 52 | 49,871 |
| Chilton County 01021 | 51 | 26 | 49 | 76 | 51 | 46,431 |
| Covington County 01039 | 51 | 22 | 72 | 45 | 52 | 37,952 |
| Houston County 01069 | 50 | 21 | 59 | 60 | 53 | 108,462 |
| Coffee County 01031 | 49 | 18 | 50 | 79 | 48 | 55,643 |
| Pike County 01109 | 49 | 16 | 43 | 76 | 58 | 33,137 |
| Lauderdale County 01077 | 49 | 35 | 44 | 77 | 44 | 96,814 |
| Tuscaloosa County 01125 | 46 | 37 | 26 | 80 | 50 | 237,373 |
| Elmore County 01051 | 46 | 38 | 35 | 77 | 42 | 90,441 |
| Autauga County 01001 | 46 | 28 | 37 | 81 | 44 | 60,342 |
| St. Clair County 01115 | 46 | 23 | 41 | 78 | 45 | 95,552 |
| Baldwin County 01003 | 43 | 37 | 44 | 58 | 40 | 253,507 |
| Madison County 01089 | 42 | 57 | 18 | 77 | 34 | 412,600 |
| Lee County 01081 | 42 | 25 | 23 | 79 | 49 | 183,215 |
| Shelby County 01117 | 42 | 58 | 20 | 79 | 29 | 233,000 |
| Limestone County 01083 | 39 | 32 | 28 | 77 | 33 | 114,654 |
Scores are national percentile ranks (0–100) from the Banana Analytics methodology (v1.2.0). Higher scores indicate more burden. Click any county for its full environmental and community health profile.