State index

Kentucky

Environmental and community health profiles for all 120 counties in Kentucky. Sorted by opportunity score (highest need first).

120

Counties

Avg opportunity score

Converging-risk counties

What the data shows in Kentucky

Across Kentucky's 120 counties, 17 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 disease burden, the leading driver of community health need in Kentucky.

The most widespread specific risk pattern is Respiratory Burden, triggered in 94 counties, followed by Outage Vulnerability in 53 counties.

Bell 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
Bell County 21013	71	59	81	52	76	23,317
Wolfe County 21237	70	28	84	74	83	6,282
Robertson County 21201	68	37	76	73	73	2,313
Menifee County 21165	68	28	75	82	71	6,286
Owsley County 21189	67	28	80	71	76	4,001
Fulton County 21075	66	20	79	75	76	6,338
Cumberland County 21057	66	30	78	77	60	6,000
Lee County 21129	65	28	79	61	76	7,293
Casey County 21045	63	37	82	53	62	15,918
Harlan County 21095	63	28	82	54	68	25,324
Clay County 21051	62	28	77	56	73	19,648
McCreary County 21147	62	28	77	57	66	17,050
Letcher County 21133	61	28	80	54	64	20,423
Carter County 21043	61	39	73	57	61	26,366
Jackson County 21109	61	28	77	53	72	13,104
Knott County 21119	61	28	81	45	78	13,659
Clinton County 21053	61	28	79	59	61	9,148
Pulaski County 21199	61	58	70	53	52	66,191
Perry County 21193	61	48	69	50	62	27,133
Wayne County 21231	61	28	77	57	63	19,580
Magoffin County 21153	61	28	80	43	79	11,228
Floyd County 21071	60	28	76	53	68	34,423
Livingston County 21139	60	54	65	73	44	8,892
Nicholas County 21181	60	28	68	65	67	7,686
Knox County 21121	60	28	77	51	68	29,794
Pike County 21195	60	42	74	44	64	55,973
Estill County 21065	60	28	78	47	71	13,936
Leslie County 21131	60	28	78	46	71	9,864
Breathitt County 21025	60	28	77	46	75	12,953
Lewis County 21135	59	28	81	45	64	12,973
Elliott County 21063	59	28	74	60	59	7,245
Hickman County 21105	58	17	78	72	52	4,447
Russell County 21207	58	37	72	56	55	18,279
Rockcastle County 21203	58	28	71	54	64	16,190
Hart County 21099	58	37	72	57	54	19,724
Morgan County 21175	57	51	60	51	57	14,283
Crittenden County 21055	57	25	67	65	58	8,974
Monroe County 21171	57	37	74	45	55	11,306
Metcalfe County 21169	56	29	75	49	57	10,482
Henderson County 21101	56	67	54	57	45	44,119
Johnson County 21115	56	28	72	52	59	22,116
Lawrence County 21127	56	28	74	46	61	16,000
Bourbon County 21017	56	37	62	57	58	20,134
Bracken County 21023	56	28	61	60	65	8,426
Bath County 21011	56	28	68	52	62	12,975
Lincoln County 21137	56	29	71	51	59	24,776
Barren County 21009	56	31	70	53	57	45,008
Boyd County 21019	56	53	61	41	58	47,826
Edmonson County 21061	56	47	71	48	48	12,448
Trimble County 21223	56	28	55	74	57	8,607
Carroll County 21041	55	28	65	52	63	10,987
Harrison County 21097	55	37	56	59	59	19,415
Grayson County 21085	55	28	71	57	52	26,825
Lyon County 21143	55	28	59	75	51	9,187
Powell County 21197	55	28	58	55	70	12,972
Whitley County 21235	55	28	59	55	66	36,825
Carlisle County 21039	54	17	73	73	46	4,704
Green County 21087	54	29	79	43	51	11,468
Adair County 21001	54	37	61	57	52	19,264
Gallatin County 21077	53	28	50	72	57	8,792
Fleming County 21069	53	28	68	47	56	15,442
Greenup County 21089	53	51	59	45	50	35,221
Allen County 21003	53	31	60	59	53	21,788
Jefferson County 21111	52	69	32	55	55	772,144
Hancock County 21091	52	57	53	63	37	8,920
Trigg County 21221	52	25	65	48	59	14,369
Marion County 21155	52	29	64	55	51	19,834
Breckinridge County 21027	52	20	67	59	51	21,124
Ballard County 21007	51	17	68	63	49	7,582
Laurel County 21125	51	28	63	54	52	63,296
Todd County 21219	51	22	61	48	63	12,494
Henry County 21103	51	28	60	47	59	15,973
Larue County 21123	51	28	56	54	57	15,303
Martin County 21159	51	28	60	33	74	10,928
Caldwell County 21033	50	26	66	46	53	12,551
Christian County 21047	50	49	37	55	59	72,032
Simpson County 21213	50	58	43	58	45	20,195
Webster County 21233	50	23	66	49	53	12,726
McCracken County 21145	50	46	56	49	45	67,428
Pendleton County 21191	50	30	52	50	59	14,810
Garrard County 21079	49	20	56	51	60	17,829
Montgomery County 21173	49	28	54	53	55	28,527
Mason County 21161	49	28	58	50	52	16,841
Ohio County 21183	48	21	61	54	51	23,626
Washington County 21229	48	54	49	51	40	12,267
Owen County 21187	47	28	58	40	55	11,313
Butler County 21031	47	20	63	42	54	12,375
Muhlenberg County 21177	47	22	63	48	49	30,568
Graves County 21083	47	15	63	54	49	36,461
Clark County 21049	47	29	49	51	54	37,304
Bullitt County 21029	46	70	36	50	38	84,863
Daviess County 21059	46	46	44	56	43	103,458
Hopkins County 21107	46	23	63	47	45	44,929
Rowan County 21205	46	28	43	54	55	24,409
Taylor County 21217	45	29	47	56	48	26,443
Jessamine County 21113	43	60	31	49	42	55,017
Logan County 21141	43	21	60	49	41	28,283
Mercer County 21167	43	29	51	52	42	23,097
Boyle County 21021	43	29	46	51	45	30,988
McLean County 21149	43	20	54	57	40	9,054
Union County 21225	42	24	44	47	51	13,106
Grant County 21081	42	21	40	54	52	25,619
Warren County 21227	41	48	29	51	43	142,229
Fayette County 21067	40	53	20	51	48	320,154
Hardin County 21093	39	37	34	54	42	112,273
Franklin County 21073	38	32	36	46	46	51,644
Marshall County 21157	37	16	50	47	37	31,744
Madison County 21151	37	21	31	51	49	96,735
Meade County 21163	36	21	33	56	44	30,131
Calloway County 21035	36	16	37	52	46	38,280
Anderson County 21005	35	21	41	46	39	24,613
Nelson County 21179	34	32	30	50	37	47,730
Woodford County 21239	34	29	33	51	34	27,268
Spencer County 21215	33	25	29	56	36	20,531
Campbell County 21037	33	44	24	41	36	93,702
Oldham County 21185	31	58	12	51	17	70,183
Boone County 21015	31	57	16	43	25	140,496
Shelby County 21211	31	21	31	49	36	49,515
Scott County 21209	30	37	19	53	29	60,168
Kenton County 21117	28	23	26	42	36	171,321

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.

Deeper reads from our research that connect to the data on this page.

Technical Blog
CDC PLACES Is Missing Disease Data for 187 Counties. The Acknowledgement Is Buried in a Footnote.
Kentucky and Pennsylvania have zero disease prevalence data in the current CDC PLACES release. CDC documented it once, in release notes. A structural vulnerability in how federal health data flows to downstream consumers.
April 21, 2026

Kentucky

What the data shows in Kentucky

Related analysis

CDC PLACES Is Missing Disease Data for 187 Counties. The Acknowledgement Is Buried in a Footnote.