U.S. News and Aetna release 'Healthiest Communities' rankings

Vermont Business MagazineUSNews & World Report, the global authority in rankings and civic journalism, in collaboration with theAetna Foundation, the independent charitable and philanthropic arm ofAetna, has announced the inauguralHealthiest Communitiesrankings. The new report evaluated nearly 3,000 communities nationwide across 10 categories, from education and population health to infrastructure and economy. In addition to assessing which communities offer their citizens the greatest opportunity to live a productive, healthy life, the rankings offer insight into the best approaches for improving public health that can be shared and implemented across the country. Of those in Vermont, Chittenden County was ranked highest, with Bennington and Orleans counties being ranked in the sub-categories.

U.S. News & World Report Logo. (PRNewsFoto/U.S. News Media Group)"For nearly thirty years, U.S. News has evaluated hospitals, colleges and other sectors for the benefit of consumers, recognizing the importance of access to trusted, in-depth information," saidEric Gertler, chairman of U.S. News. "Healthiest communities is an extension of that effort, giving citizens, community leaders and policy-makers the tools to assess health in their communities and develop a blueprint for positive change."

In addition to an overallrankingof the top 500 communities, four peer groupings were developed based on counties' urban-rural status as tied to population density and the robustness of their economies. The peer groups assure fair comparisons between communities and are categorized by: urban high-performing, urban up-and-coming, rural high-performing and rural up-and-coming. An Honor Roll was also developed that highlights 36 top-performing communities in each peer group from the nine U.S. Census regions.

"Research has shown that inthe United States, your ZIP code is a greater predictor of your life expectancy than your genetic code. In other words, where you live has a significant impact on your overall health," saidMark T. Bertolini, chairman of the Aetna Foundation and chairman and CEO ofAetna. "Our work with U.S. News will provide communities with data that can help them better understand opportunities for improvement, as well as inspire ideas for change by showcasing the best practices of communities across the country."

Key Findings in the 2018 Healthiest Communities rankings:

  • The top fiveHealthiest Communitiesall score above the national average in at least nine of the 10 categories evaluated.Falls Churchcity,Virginia, is No. 1, ranking in the top three communities nationally for education, economy and public safety.
  • Douglas CountyandBroomfield County, Colorado, follow at No. 2 and No. 3, respectively.Los Alamos County, New Mexico, places fourth, whileDukes County, Massachusetts, rounds out the top five.
  • VirginiaandColoradocommunities dominate the top 10. Among the top 10:Falls Churchcity (1),Fairfaxcity (6), andLoudoun County(10),Virginia;Douglas County(2),Broomfield County(3),Routt County(8) andOuray County(9),Colorado. Together, communities in the two states boast an average of 62 primary care doctors for every 100 people and an average life expectancy that is more than a year longer than the national average.
  • Peer Groups: The top 100 communities in each peer group range fromKeweenaw County, Michigan– a county with a total population of just over 2,000 – toMiddlesex County, Massachusetts, which is home to more than 1.5 million people. Rural counties stand out in the community vitality category that includes measures such as voter participation and homeownership rates, while up-and-coming economies perform strongly in the food and nutrition category, which includes access to large supermarkets and fewer cases of obesity and diabetes.
  • Across all four peer groups, top counties rank well in the population health category, which looks at access to care, mental health, health behaviors such as preventative care visits and tobacco use, prevalence of health conditions such as cancer and heart disease among Medicare beneficiaries, and health outcomes including life expectancy and teen birth rates.
  • Honor Roll: When organized by region, a number of communities that may not be at the top on a national stage stand out among their regional peers. Communities that are highlighted on the 2018 Healthiest Communities Honor Roll that did not rank in the top 500 includeLexingtoncity,Virginia;Orleans County, Vermont; andPickett County, Tennessee.

The Aetna Foundation – which has helped improve community health for more than 40 yearscurrently supports hundreds of programs across the country that address the social determinants of health. Using data from the Healthiest Communities rankings, the Foundation will continue to make targeted investments in locally-based programs and cross-sector partnerships that will accelerate progress towards building healthy communities across the country.

Tocompilethe rankings, U.S. News worked with theUniversity of MissouriCenter for Applied Research and Engagement Systems (CARES), a research institution skilled in community health assessment, and consulted with members of the National Committee on Vital and Health Statistics. The rankings are based on 80 metrics drawn from sources such as the Centers for Disease Control and Prevention, the Institute for Health Metrics and Evaluation, the U.S. Census Bureau, the Dartmouth Atlas of Health Care and the U.S. Environmental Protection Agency.

TheHealthiest Communitiesrankings are the centerpiece of a new platform featuring in-depth reporting and analysis on community and public health issues, as well as comprehensive data covering the full spectrum of factors that influence population health. Healthiest Communities is part of U.S. News' expanding News channel and civic journalism portfolio, which includes theBest StatesandBest Countriesplatforms that evaluate how government leaders and public policies best serve their citizens.

2018 Healthiest Communities- Top 10
*See the full rankingshere

1.Falls Churchcity,Virginia
2.Douglas County, Colorado
3.Broomfield County, Colorado
4.Los Alamos County, New Mexico
5.Dukes County, Massachusetts
6.Fairfaxcity,Virginia
7.Hamilton County, Indiana
8.Routt County, Colorado
9.Ouray County, Colorado
10.Loudoun County, Virginia

Peer Group Rankings – Top 5

Urban, High-Performing
1.Falls Churchcity, Virginia
2.Douglas County, Colorado
3.Broomfield County, Colorado
4.Los Alamos County, New Mexico
5.Dukes County, Massachusetts

Rural, High-Performing
1.Routt County, Colorado
2.Ouray County, Colorado
3.Sublette County, Wyoming
4.Grand County, Colorado
5.Teton County, Wyoming

Urban, Up-and-Coming
1.Island County, Washington
2.Bennington County, Vermont
3.Montgomery County, Virginia
4. Latah County, Idaho
5. Transylvania County, North Carolina

Rural, Up-and-Coming
1.Jefferson County, Washington
2.Lincoln County, Washington
3.Dolores County, Colorado
4.Emery County, Utah
5.Keweenaw County, Michigan

Honor Roll Sample

  • Lexingtoncity,Virginia
  • Real County, Texas
  • Orleans County, Vermont
  • Marshall County, Kentucky
  • Washington County, Tennessee
  • Pickett County, Tennessee

To view the full rankings and search county profiles, please visit:https://www.usnews.com/news/healthiest-communities

For more information onHealthiest CommunitiesexploreFacebookandTwitterusing #HealthiestCommunities.

U.S. News Media Contact:Maria Santucci,[email protected], 202-955-2031

Aetna Foundation Contact:Ethan Slavin,[email protected], 860-273-6095

About U.S. News & World Report
U.S. News & World Report is a digital news and information company that empowers people to make better, more informed decisions about important issues affecting their lives. Focusing on Education, Health, Personal Finance, Travel, Cars and News,USNews.comprovides consumer advice, rankings, news and analysis to serve people making complex decisions throughout all stages of life. More than 30 million people visitUSNews.comeach month for research and guidance. Founded in 1933, U.S. News is headquartered inWashington, D.C.

About The Aetna Foundation
The Aetna Foundationis the independent charitable and philanthropic arm ofAetna(NYSE: AET). As a national health foundation, we promote wellness, health, and access to high-quality health care for everyone. This work is enhanced by the time and commitment ofAetnaemployees, who volunteered 430,000 hours in 2016 alone. For more information, visitwww.aetnafoundation.org.

Below are the 2018 rankings of the top 500 Healthiest Communities nationwide, and how they scored across each of the 10 categories on a scale of zero to 100.

RANK

COUNTY

POPULATION HEALTH

EQUITY

EDUCATION

ECONOMY

HOUSING

FOOD & NUTRITION

ENVIRONMENT

PUBLIC SAFETY

COMMUNITY VITALITY

INFRASTRUCTURE

 

1

Falls Church city,Virginia

89.7

59.2

100.0

96.5

44.6

70.4

61.6

97.4

71.2

86.9

2

Douglas County,Colorado

85.1

57.7

67.0

99.6

59.6

81.1

65.8

78.6

87.1

93.5

3

Broomfield County,Colorado

87.0

47.4

70.4

91.3

56.2

86.3

68.3

71.3

79.6

92.5

4

Los Alamos County,New Mexico

85.2

83.1

66.5

67.2

42.0

93.0

76.7

72.8

75.5

88.6

5

Dukes County,Massachusetts

74.3

72.5

82.4

68.0

62.9

82.4

57.2

60.2

91.7

86.5

6

Fairfax city,Virginia

81.1

44.6

90.8

88.0

40.7

83.0

64.3

91.6

71.4

78.1

7

Hamilton County,Indiana

78.1

69.1

77.0

91.2

58.5

72.7

47.8

63.8

83.2

83.2

8

Routt County,Colorado

84.2

58.9

58.6

76.6

52.8

88.1

85.2

76.0

74.8

85.5

9

Ouray County,Colorado

91.7

58.1

56.3

63.7

67.4

95.1

82.0

76.7

90.0

55.0

10

Loudoun County,Virginia

82.3

31.1

81.4

100.0

43.4

81.9

54.5

86.9

86.4

73.1

11

Ozaukee County,Wisconsin

82.3

72.6

77.3

79.8

51.0

76.5

66.1

70.2

71.3

76.4

12

Delaware County,Ohio

76.3

72.9

73.1

88.5

53.6

68.4

53.8

64.1

84.1

79.3

13

Carver County,Minnesota

87.1

49.8

77.5

92.9

40.9

73.8

56.0

76.1

78.6

80.5

14

Sublette County,Wyoming

81.0

79.2

65.6

65.6

76.3

71.5

81.9

68.2

81.4

56.1

15

Washington County,Minnesota

85.3

59.6

78.5

87.1

43.7

76.6

52.0

72.4

72.3

85.2

16

Rockingham County,New Hampshire

71.2

76.4

74.8

84.8

67.0

81.7

41.6

77.5

65.6

67.5

17

Grand County,Colorado

87.1

72.9

47.3

66.5

39.7

86.5

84.5

86.8

75.8

77.4

18

Norfolk County,Massachusetts

74.8

58.0

89.7

88.3

50.7

85.7

51.0

81.0

58.3

64.6

19

Teton County,Wyoming

85.5

43.0

64.9

80.1

29.8

85.8

87.5

74.8

71.2

96.3

20

Howard County,Maryland

85.4

40.5

81.8

93.0

49.8

82.2

48.2

68.9

65.6

85.3

21

Fairfax County,Virginia

90.7

30.2

80.7

92.8

46.9

82.0

64.9

75.0

60.6

81.9

22

Winneshiek County,Iowa

94.1

75.7

57.8

61.0

68.5

75.8

70.9

62.2

65.1

79.5

23

Williamson County,Tennessee

75.8

49.0

72.9

89.8

52.6

73.1

59.8

60.4

88.4

75.0

24

Chaffee County,Colorado

73.9

72.3

47.1

59.4

58.0

87.2

96.3

78.4

79.1

71.5

25

Morgan County,Utah

83.5

77.0

63.0

77.9

54.0

56.0

75.0

77.7

75.1

63.6

26

Summit County,Colorado

92.8

60.7

49.4

73.9

34.7

79.3

91.7

77.8

65.5

88.3

27

Poquoson city,Virginia

69.9

77.9

74.7

74.6

52.9

76.3

50.4

78.5

70.9

72.1

28

Lincoln County,South Dakota

85.9

66.2

56.0

86.8

53.4

62.9

61.6

62.1

79.0

83.4

29

Morris County,New Jersey

80.0

33.0

89.2

90.5

51.1

89.6

48.3

78.4

61.9

71.3

30

Bristol County,Rhode Island

68.4

69.3

75.8

75.2

50.9

87.8

50.4

82.8

54.8

87.6

31

Arlington County,Virginia

88.9

23.0

84.2

91.7

54.3

88.2

50.4

89.4

51.5

77.2

32

Warren County,Ohio

65.8

70.6

72.0

85.6

56.2

66.4

43.1

70.4

74.5

91.3

33

Clear Creek County,Colorado

75.0

62.3

43.2

76.7

55.3

88.9

90.2

89.3

76.3

53.8

34

Hunterdon County,New Jersey

84.3

44.7

78.6

87.3

49.6

87.4

48.6

81.1

71.3

51.7

35

Washington County,Rhode Island

69.1

79.3

69.8

71.8

50.2

84.9

59.7

82.5

57.6

73.5

36

Boulder County,Colorado

84.5

25.7

67.6

89.0

47.7

84.6

73.1

78.8

62.1

92.3

37

Scott County,Minnesota

81.5

42.6

73.7

90.2

40.4

71.2

55.3

70.2

80.6

82.4

38

Pitkin County,Colorado

78.6

39.7

64.7

76.4

38.8

84.1

84.2

82.1

77.3

80.1

39

Wasatch County,Utah

81.4

76.9

44.4

75.9

48.2

78.4

70.3

81.1

74.2

66.7

40

Teller County,Colorado

75.7

80.7

33.4

67.7

57.5

80.5

88.0

88.9

78.7

56.0

41

Chittenden County,Vermont

83.6

67.8

79.1

71.2

55.8

76.7

48.3

69.6

56.1

76.5

42

Mono County,California

78.6

88.2

55.7

62.0

20.1

93.3

89.9

74.8

47.0

86.5

43

Valley County,Idaho

86.1

87.0

50.0

58.0

51.6

77.1

77.2

49.8

80.7

66.9

44

Tolland County,Connecticut

70.3

59.8

87.0

76.0

68.1

75.7

52.8

67.8

57.8

67.3

45

Hampshire County,Massachusetts

78.3

63.3

81.1

65.5

59.0

87.8

42.7

70.1

55.1

77.7

46

Middlesex County,Connecticut

70.6

50.5

83.6

81.5

60.8

78.7

53.0

70.8

63.4

67.1

47

Dallas County,Iowa

74.1

44.1

78.8

80.0

54.6

64.4

53.4

66.7

79.2

87.6

48

Summit County,Utah

84.2

40.1

55.0

82.2

40.5

89.9

65.0

78.3

74.5

75.9

49

Teton County,Idaho

77.2

79.7

28.2

72.7

69.1

74.6

75.9

74.2

80.9

59.9

50

Barnstable County,Massachusetts

66.9

62.8

74.6

65.5

45.4

90.8

68.7

66.4

71.0

72.2

51

Merrimack County,New Hampshire

75.9

76.0

69.6

69.8

59.0

75.9

42.4

74.2

68.3

64.0

52

Hanover County,Virginia

70.5

68.7

60.1

80.1

49.1

68.7

58.9

75.1

76.9

71.5

53

Somerset County,New Jersey

85.7

30.1

82.2

88.4

48.4

83.9

38.6

80.6

63.1

69.9

54

Litchfield County,Connecticut

67.2

69.8

77.6

72.1

55.3

85.3

58.1

68.9

64.1

57.6

55

Putnam County,New York

71.1

57.7

74.4

81.1

48.6

89.6

57.7

94.5

57.2

43.7

56

Gunnison County,Colorado

78.4

56.2

57.8

58.6

42.7

81.8

89.0

65.9

67.4

99.4

57

Waukesha County,Wisconsin

81.3

53.1

72.7

86.2

52.6

73.2

32.2

70.8

67.6

75.5

58

Park County,Colorado

77.6

88.5

32.3

71.8

46.3

83.2

86.0

88.6

78.1

25.5

59

Saratoga County,New York

70.8

75.9

65.2

78.4

58.5

72.8

44.1

77.5

54.1

78.5

60

Washington County,Wisconsin

75.3

74.6

57.1

75.2

51.7

66.5

63.5

66.1

67.0

80.4

61

San Mateo County,California

94.0

17.8

77.3

91.2

29.2

80.9

72.4

89.4

40.4

87.6

62

Placer County,California

81.8

46.7

62.2

80.6

47.6

80.7

59.2

74.6

64.8

78.1

63

Jefferson County,Colorado

76.9

38.4

58.5

89.5

52.2

79.6

65.1

72.5

56.0

93.6

64

Dakota County,Minnesota

78.4

33.0

75.6

85.6

46.2

69.9

60.9

71.0

63.2

92.0

65

Nantucket County,Massachusetts

79.6

56.0

61.8

78.3

45.2

84.0

52.2

54.0

76.2

76.4

66

Johnson County,Kansas

80.2

39.5

74.3

91.3

55.6

64.1

51.5

58.1

61.2

92.1

67

Middlesex County,Massachusetts

73.7

38.0

86.5

89.3

48.7

80.5

43.4

81.0

52.4

71.0

68

Collin County,Texas

72.0

32.3

79.1

96.4

55.9

65.8

54.9

64.3

67.1

77.7

69

Sarpy County,Nebraska

79.0

54.0

69.1

85.1

48.1

56.1

57.8

69.8

58.1

94.0

70

La Plata County,Colorado

84.0

62.4

49.4

69.1

62.3

78.5

78.3

55.4

66.1

70.1

71

Grafton County,New Hampshire

82.9

57.5

67.3

66.2

60.0

77.4

55.6

67.1

69.0

64.9

72

Elbert County,Colorado

76.2

73.1

40.9

79.9

46.7

83.5

63.6

77.4

87.4

30.1

73

Sussex County,New Jersey

67.2

74.1

69.8

78.0

48.1

80.4

52.7

80.9

63.0

44.1

74

Larimer County,Colorado

80.1

45.8

56.9

75.1

52.9

78.6

71.5

66.5

65.4

83.1

75

St. Charles County,Missouri

56.1

74.9

65.0

83.3

52.8

70.4

44.9

66.4

69.6

80.6

76

Jefferson County,Montana

78.7

68.9

43.9

59.9

64.1

72.6

65.1

73.9

83.2

65.5

77

Juneau City and Borough,Alaska

83.6

78.8

57.7

64.8

46.6

69.5

60.0

66.0

65.2

72.3

78

Storey County,Nevada

66.4

72.4

52.4

57.9

91.2

73.5

51.8

67.0

87.6

52.4

79

Dodge County,Minnesota

79.4

63.3

52.4

72.5

41.8

67.2

58.9

75.9

71.8

86.3

80

Sheridan County,Wyoming

84.7

68.2

65.2

62.1

52.0

72.4

68.3

44.7

65.9

80.3

81

Chester County,Pennsylvania

70.5

28.7

82.1

88.3

58.7

85.7

40.5

65.6

67.5

70.7

82

Forsyth County,Georgia

63.4

51.8

70.4

89.3

49.6

74.2

49.4

59.6

84.5

61.8

83

Livingston County,Michigan

69.3

87.3

57.8

77.5

54.6

71.0

47.1

64.2

71.9

52.1

84

San Miguel County,Colorado

78.2

40.3

49.7

67.1

44.3

93.8

92.4

68.5

67.2

80.6

85

Montgomery County,Pennsylvania

74.4

39.9

85.1

86.9

56.7

79.1

28.6

62.7

62.5

76.0

86

La Crosse County,Wisconsin

80.2

69.9

65.2

63.7

54.4

64.5

51.4

70.4

55.4

94.9

87

Gallatin County,Montana

83.3

62.6

55.1

71.9

52.9

81.6

46.8

57.8

70.7

76.1

88

Medina County,Ohio

64.0

81.4

63.9

73.8

52.5

70.1

57.7

68.6

64.5

65.5

89

Wright County,Minnesota

75.0

80.9

58.0

80.4

33.1

62.8

54.7

71.1

78.4

55.3

90

San Juan County,Washington

77.5

59.1

46.8

57.2

43.1

85.5

72.2

71.2

86.7

72.9

91

Marin County,California

92.3

3.9

75.8

89.8

24.4

87.3

77.2

86.7

54.4

74.6

92

Addison County,Vermont

81.4

61.0

71.3

64.9

52.6

82.7

50.9

68.4

61.6

62.0

93

Montgomery County,Maryland

90.0

20.3

75.4

91.2

38.8

85.7

56.3

71.6

56.4

68.6

94

Washington County,Vermont

78.8

69.5

65.2

63.7

56.8

83.1

45.2

65.7

67.4

59.8

95

Powhatan County,Virginia

65.9

77.0

55.1

72.3

50.5

58.2

74.5

77.1

80.0

54.2

96

Chesterfield County,Virginia

68.1

54.2

64.0

82.2

52.9

73.3

60.6

62.6

69.2

74.6

97

Douglas County,Nevada

71.6

66.9

53.3

62.3

53.7

80.4

60.9

88.9

66.3

67.3

98

Eagle County,Colorado

80.8

38.2

46.1

78.4

26.1

86.5

90.3

84.9

60.8

84.9

99

Roanoke County,Virginia

67.2

72.8

66.7

66.3

52.7

68.0

58.0

72.5

62.7

78.0

100

Cook County,Minnesota

88.4

52.9

50.3

52.9

57.1

74.6

87.3

68.3

80.9

59.4

101

Hendricks County,Indiana

61.6

74.7

67.3

77.5

54.8

64.4

41.9

53.6

77.0

79.0

102

Lincoln County,Wyoming

72.6

69.6

58.7

67.8

45.4

70.5

83.1

79.0

69.8

46.8

103

Burleigh County,North Dakota

77.3

71.4

52.6

78.0

60.1

64.5

48.6

58.6

65.8

79.8

104

Madison County,Montana

84.8

62.4

37.5

54.3

73.1

88.0

67.7

67.5

86.5

43.9

105

Williamson County,Texas

70.9

35.3

67.9

91.6

56.0

67.6

55.8

70.0

66.2

78.5

106

Kauai County,Hawaii

88.0

71.2

58.4

59.7

36.6

90.0

61.2

68.8

49.4

74.6

107

Sioux County,Iowa

88.0

64.6

52.1

67.4

45.0

56.4

66.2

72.7

68.8

81.4

108

Davis County,Utah

79.1

52.4

60.3

82.1

43.9

68.6

57.5

69.9

49.6

100.0

109

Olmsted County,Minnesota

100.0

29.5

63.3

78.3

51.2

65.5

50.9

69.1

65.8

82.7

110

Albemarle County,Virginia

80.6

37.5

66.7

73.9

55.2

77.8

62.8

61.8

67.0

78.0

111

Park County,Wyoming

77.1

61.4

63.8

57.4

54.9

74.3

79.5

54.1

68.4

74.1

112

York County,Virginia

71.3

49.3

78.4

66.2

48.5

70.6

63.8

66.6

62.8

84.8

113

St. Croix County,Wisconsin

79.8

73.8

59.2

77.4

36.2

66.4

48.2

74.2

73.9

53.0

114

Marion County,Iowa

83.6

70.8

57.8

63.5

61.1

58.2

64.3

69.8

65.5

63.1

115

Stafford County,Virginia

63.8

68.8

67.2

79.9

45.4

68.8

56.1

77.4

71.3

48.6

116

Platte County,Missouri

60.4

59.1

69.2

83.0

54.7

58.0

54.0

64.1

70.5

81.4

117

Gilpin County,Colorado

71.8

87.1

32.7

73.5

52.5

74.6

84.8

82.0

76.2

18.7

118

Knox County,Maine

72.0

75.8

54.5

56.8

49.4

77.8

69.9

58.5

73.8

68.8

119

Rappahannock County,Virginia

63.4

66.6

42.1

66.6

76.2

82.3

73.8

80.4

77.8

34.9

120

Fayette County,Georgia

75.2

53.0

68.4

79.6

44.5

62.4

58.2

60.7

79.8

62.6

121

Carroll County,Maryland

67.2

72.9

65.3

77.7

46.2

76.8

59.7

68.1

63.8

45.6

122

Johnson County,Iowa

88.8

43.5

81.4

69.4

49.0

63.4

50.7

66.7

55.8

80.4

123

Bucks County,Pennsylvania

64.0

60.2

75.6

84.0

51.2

75.7

40.0

62.9

60.5

67.7

124

Kane County,Utah

70.1

71.9

45.3

53.7

66.5

79.8

59.0

81.9

66.4

72.6

125

Blaine County,Idaho

79.7

43.9

60.5

67.7

36.7

83.7

72.1

72.0

69.2

70.3

126

Cedar County,Iowa

67.6

75.4

57.5

60.8

59.2

65.9

61.7

80.0

63.2

69.4

127

Calumet County,Wisconsin

75.2

58.9

54.5

68.1

56.0

69.3

58.9

72.9

69.8

71.9

128

Lewis and Clark County,Montana

76.6

69.7

50.8

63.2

50.4

68.3

64.9

62.4

70.4

78.2

129

Fauquier County,Virginia

63.1

53.7

56.9

78.7

49.1

82.0

60.7

83.8

75.9

46.3

130

Door County,Wisconsin

74.9

67.2

43.5

52.3

63.1

67.6

76.0

77.3

79.4

63.7

131

Sagadahoc County,Maine

70.0

72.1

60.2

62.9

53.5

65.8

68.9

74.2

65.0

62.0

132

Bremer County,Iowa

71.3

61.7

59.8

63.9

59.1

60.9

49.4

69.9

68.4

92.8

133

Oldham County,Kentucky

61.7

71.4

62.3

77.6

34.6

66.4

57.8

60.0

78.9

70.4

134

Burlington County,New Jersey

64.7

62.7

74.7

85.4

44.6

72.2

45.4

66.0

54.4

68.3

135

Cheshire County,New Hampshire

75.2

69.6

69.7

64.9

50.0

77.3

40.9

69.2

61.4

61.4

136

Botetourt County,Virginia

72.3

61.4

53.8

62.8

59.9

78.4

61.6

70.3

72.6

59.8

137

Hancock County,Indiana

57.4

84.8

53.4

74.1

58.5

55.9

47.0

67.1

69.2

82.7

138

Archuleta County,Colorado

79.0

59.0

44.3

57.2

47.2

97.2

90.5

40.6

82.5

52.9

139

Windham County,Vermont

77.0

60.8

69.7

60.5

50.3

83.7

50.2

63.5

64.3

63.1

140

Johnson County,Wyoming

86.0

54.7

37.8

52.8

71.1

81.1

79.3

69.3

82.5

44.6

141

Carroll County,New Hampshire

73.2

65.2

60.1

57.9

56.3

75.9

54.6

63.8

81.4

57.2

142

New Kent County,Virginia

62.0

71.7

49.0

72.8

52.5

60.7

60.7

71.0

87.0

61.0

143

Fort Bend County,Texas

73.4

32.6

75.7

91.1

49.3

68.3

45.6

51.9

75.2

70.5

144

Strafford County,New Hampshire

61.8

81.6

65.8

67.1

60.8

71.2

52.1

69.8

53.8

62.0

145

Dane County,Wisconsin

84.1

27.4

67.7

79.8

50.6

70.3

46.2

68.4

61.9

90.2

146

Oconee County,Georgia

66.5

49.8

63.8

73.1

50.8

67.3

71.4

55.2

82.4

65.9

147

Cumberland County,Maine

81.9

55.4

71.8

68.4

31.4

73.3

51.5

68.0

66.1

67.5

148

Hillsborough County,New Hampshire

67.2

53.0

65.3

81.2

56.1

75.2

46.2

74.3

52.8

72.9

149

Boone County,Indiana

61.4

66.2

68.2

77.3

51.2

60.6

44.7

62.6

72.7

72.8

150

Douglas County,Minnesota

80.7

61.9

64.9

59.8

46.3

61.3

59.1

67.1

72.4

69.5

151

Alexandria city,Virginia

74.6

18.6

76.4

91.4

39.4

76.6

46.8

86.2

55.9

76.6

152

Benton County,Oregon

81.6

48.6

69.0

56.3

46.5

75.8

54.4

74.1

55.2

89.0

153

Bergen County,New Jersey

77.2

34.9

83.1

88.8

36.9

79.6

33.9

90.4

48.2

56.7

154

Washington County,Nebraska

74.4

73.7

55.9

74.9

48.8

57.4

54.7

74.6

65.8

57.2

155

Clay County,Iowa

77.5

69.6

69.1

58.6

50.5

60.7

62.6

63.1

58.7

73.3

156

Kendall County,Illinois

67.8

50.0

66.7

82.5

34.6

64.1

53.1

83.0

73.0

62.6

157

Cumberland County,Pennsylvania

68.6

62.1

66.1

73.4

64.8

69.1

38.0

67.4

56.8

73.8

158

Green County,Wisconsin

75.9

67.7

48.0

63.2

62.6

61.8

61.9

72.6

61.6

77.2

159

Monroe County,Illinois

57.6

80.8

48.7

73.5

51.8

62.2

55.2

61.7

75.1

76.3

160

DuPage County,Illinois

75.4

25.4

77.3

88.4

40.2

75.2

44.6

72.7

53.4

85.9

161

Santa Clara County,California

92.7

25.1

71.9

87.0

30.6

78.2

54.0

71.6

38.2

88.8

162

St. Johns County,Florida

62.3

59.8

64.2

73.7

47.7

67.1

50.6

48.7

86.0

74.7

163

Warren County,Iowa

68.1

68.2

61.6

71.9

48.3

56.2

53.5

70.8

68.9

73.3

164

Sedgwick County,Colorado

89.4

65.6

35.9

47.2

44.6

75.0

70.0

80.8

71.6

74.6

165

Goochland County,Virginia

73.4

38.0

48.6

73.1

59.4

67.2

63.5

71.5

92.7

58.9

166

Kendall County,Texas

68.5

50.7

66.4

75.6

41.4

68.2

53.8

60.7

83.2

64.5

167

Sullivan County,New Hampshire

68.6

75.9

61.7

60.7

47.6

72.9

63.3

65.1

61.9

62.8

168

Hardin County,Iowa

66.8

65.8

68.2

54.1

46.8

61.1

71.9

77.2

59.2

82.3

169

Rio Blanco County,Colorado

84.3

78.0

34.7

56.6

43.1

69.8

68.9

87.2

67.2

56.7

170

Jefferson County,Washington

80.4

64.4

33.6

42.3

48.4

78.2

84.0

64.8

87.1

73.1

171

Ada County,Idaho

79.3

52.9

54.1

71.9

52.2

67.6

43.0

74.9

62.5

83.1

172

Wayne County,Utah

65.0

67.2

43.6

48.2

80.2

82.0

75.1

62.7

74.2

58.4

173

Cheyenne County,Nebraska

73.4

73.8

48.8

67.1

59.7

62.4

63.1

63.8

58.9

73.3

174

Brookings County,South Dakota

73.0

56.8

60.8

63.1

59.9

61.0

70.7

72.6

46.3

91.7

175

Geauga County,Ohio

62.4

75.6

60.0

72.3

47.8

67.6

62.0

68.9

68.0

49.5

176

Crook County,Wyoming

77.3

66.1

46.9

62.0

73.6

56.5

79.0

57.3

79.6

45.1

177

Lamoille County,Vermont

72.6

73.2

62.7

54.8

51.4

75.9

57.1

74.8

61.7

54.4

178

Cass County,North Dakota

77.0

52.4

64.2

74.4

61.8

58.5

53.4

65.6

48.8

87.3

179

Nassau County,New York

74.2

29.7

77.1

89.3

34.2

75.6

33.5

100.0

58.7

55.9

180

Suffolk County,New York

66.0

36.1

68.9

87.1

41.3

77.1

59.8

90.4

54.8

57.8

181

Columbia County,Georgia

74.9

63.0

52.6

70.1

58.9

61.9

58.5

54.6

72.5

70.3

182

Greene County,Ohio

68.3

70.6

71.8

66.9

53.9

56.6

47.4

65.8

52.4

84.2

183

Kent County,Rhode Island

53.0

78.0

63.7

72.1

46.4

68.4

51.7

84.8

49.2

75.5

184

Renville County,North Dakota

64.8

60.7

42.9

57.7

79.8

75.6

61.0

83.6

69.4

59.8

185

Harford County,Maryland

64.0

71.5

62.5

79.9

43.1

70.2

49.7

65.4

61.8

57.6

186

Iowa County,Iowa

79.4

67.0

47.1

59.2

52.5

68.1

57.9

72.4

66.7

70.1

187

Story County,Iowa

74.6

50.3

80.9

63.5

50.9

60.2

61.2

65.7

47.5

86.2

188

Newport County,Rhode Island

67.6

58.3

66.3

68.6

50.5

77.1

47.7

81.3

46.9

75.4

189

El Dorado County,California

74.6

43.6

58.1

68.8

49.9

82.5

66.6

75.5

62.4

58.4

190

Hancock County,Iowa

72.3

73.3

43.6

57.1

64.1

65.7

66.7

65.4

62.4

77.3

191

King George County,Virginia

54.6

76.7

55.9

75.5

60.5

59.5

63.9

80.2

69.8

39.6

192

Winnebago County,Iowa

67.7

63.6

55.0

50.5

50.8

69.2

73.1

72.2

62.4

88.8

193

Outagamie County,Wisconsin

74.6

52.2

58.4

71.8

56.5

61.3

52.6

75.4

57.7

80.3

194

Tazewell County,Illinois

62.6

81.6

51.3

68.5

54.1

61.7

61.3

67.9

54.6

77.0

195

Linn County,Iowa

68.2

53.3

72.9

70.9

50.3

54.6

56.5

68.3

61.0

81.1

196

Albany County,Wyoming

75.0

50.2

77.4

52.7

43.1

66.3

72.4

76.8

42.5

93.5

197

Osceola County,Iowa

70.9

60.8

53.9

61.2

57.7

62.7

73.8

81.0

61.9

63.2

198

Ontario County,New York

78.9

54.1

62.4

64.9

59.5

72.7

55.0

70.6

53.2

64.8

199

Lincoln County,Maine

66.4

64.1

49.0

56.3

56.8

66.9

76.3

63.3

80.3

65.0

200

Delaware County,Iowa

76.6

68.6

57.8

58.6

57.3

59.0

59.4

73.3

56.5

73.5

201

Sherburne County,Minnesota

75.8

67.2

54.6

77.1

39.6

58.6

54.6

71.7

77.0

45.5

202

Anoka County,Minnesota

71.8

49.4

67.1

83.3

42.5

62.8

46.1

65.7

63.5

73.8

203

Seward County,Nebraska

74.3

63.1

61.2

62.4

61.3

59.8

38.4

82.9

58.7

75.0

204

Dickinson County,Iowa

75.5

54.6

66.9

58.8

57.3

54.8

60.1

68.3

69.9

71.7

205

Fallon County,Montana

70.7

33.5

54.9

60.8

95.9

86.3

71.5

48.8

71.0

52.7

206

Wabasha County,Minnesota

85.1

60.0

41.9

57.8

46.9

59.1

73.8

79.5

63.9

78.5

207

Chisago County,Minnesota

77.8

81.1

45.9

70.8

30.8

70.4

49.5

73.5

77.1

39.9

208

Prince William County,Virginia

73.5

27.7

66.2

86.9

35.6

76.9

55.0

89.5

57.3

63.4

209

Franklin County,Massachusetts

65.3

62.7

69.8

60.0

58.8

85.0

35.9

64.6

58.2

69.4

210

Butler County,Pennsylvania

66.0

79.5

61.8

68.8

59.4

63.1

41.5

61.9

58.6

64.7

211

Calvert County,Maryland

61.5

71.5

54.5

77.4

45.0

75.8

63.1

64.6

67.1

44.2

212

Missoula County,Montana

73.5

57.0

65.7

62.5

46.4

73.9

48.0

52.1

65.6

83.8

213

Boone County,Iowa

73.5

73.0

57.4

62.1

45.0

54.1

63.7

68.8

62.7

74.0

214

Orange County,North Carolina

76.1

15.4

69.9

72.0

49.6

63.4

80.6

59.4

65.0

94.7

215

Mercer County,North Dakota

64.1

76.7

30.7

64.8

77.3

72.9

53.7

62.7

68.8

68.9

216

Pottawatomie County,Kansas

68.0

78.3

61.5

64.7

55.0

46.2

57.2

62.3

66.2

70.5

217

Carson County,Texas

55.8

86.5

46.4

71.7

65.0

49.9

65.5

71.4

64.5

60.7

218

Platte County,Wyoming

64.9

66.3

53.1

54.8

64.7

66.9

68.6

75.4

68.1

59.8

219

Cavalier County,North Dakota

72.7

36.2

41.2

63.5

88.3

78.4

65.1

63.2

69.8

70.7

220

Thurston County,Washington

80.1

59.6

56.2

58.9

45.3

72.2

59.6

62.7

56.2

83.9

221

Wake County,North Carolina

71.4

19.5

65.3

85.6

49.7

61.9

58.3

60.0

72.6

89.2

222

Mitchell County,Iowa

69.9

61.7

31.0

58.9

67.9

73.9

62.6

72.6

69.4

79.7

223

Morton County,North Dakota

60.0

61.0

47.9

77.0

57.7

65.0

58.8

64.1

63.6

81.6

224

Windsor County,Vermont

77.1

63.3

64.6

61.2

39.3

79.7

43.2

64.7

62.0

65.0

225

Denton County,Texas

64.5

31.6

71.7

92.7

51.6

65.1

44.5

63.8

61.9

75.0

226

Carbon County,Montana

77.7

65.4

26.5

50.5

70.4

89.3

77.7

63.7

75.2

43.4

227

Maui County,Hawaii

89.5

49.5

63.3

66.0

35.3

80.8

56.3

64.1

43.6

76.0

228

Lake County,Minnesota

80.2

60.4

50.2

48.5

48.9

69.0

59.1

83.7

75.1

59.3

229

Rockwall County,Texas

61.6

37.7

63.9

90.0

46.8

66.5

39.9

68.8

79.6

63.5

230

Park County,Montana

74.6

59.7

40.2

54.0

63.3

82.4

73.6

57.5

74.1

56.8

231

Custer County,South Dakota

86.4

68.8

32.6

51.5

72.6

63.7

59.6

66.8

77.5

54.5

232

Brown County,Minnesota

78.6

61.1

52.5

57.5

50.5

59.7

62.8

73.1

64.7

74.2

233

Grand Traverse County,Michigan

68.7

72.5

51.3

58.7

50.3

65.5

57.8

62.4

71.1

71.5

234

Washington County,Oregon

85.1

27.6

58.1

81.7

43.0

69.8

51.5

75.6

48.5

90.1

235

Utah County,Utah

78.7

37.5

56.2

80.0

37.5

65.9

62.8

71.5

45.5

100.0

236

Goshen County,Wyoming

66.9

63.2

60.9

45.9

64.8

69.1

72.2

79.4

60.0

60.3

237

Salem city,Virginia

70.2

59.4

63.8

64.0

54.4

67.8

48.9

74.8

48.2

80.9

238

James City County,Virginia

72.2

30.7

54.0

68.7

42.0

76.2

68.1

69.3

81.8

69.9

239

Jefferson County,Wisconsin

74.1

71.9

54.9

62.2

48.6

65.8

46.8

74.9

57.9

68.9

240

Belknap County,New Hampshire

63.3

71.0

51.9

62.4

55.4

76.7

50.3

69.1

66.3

60.8

241

Plymouth County,Iowa

75.8

61.7

47.8

64.7

66.7

54.3

57.0

76.0

64.9

64.8

242

Emmet County,Michigan

69.4

67.3

45.5

52.7

51.7

73.3

76.2

64.6

69.4

67.4

243

Midland County,Michigan

66.5

70.3

54.5

67.2

62.6

59.5

49.3

62.5

59.1

77.0

244

Hood River County,Oregon

85.7

54.2

40.7

55.3

28.7

82.2

73.1

82.8

60.7

72.0

245

Monmouth County,New Jersey

68.7

37.3

77.4

86.0

27.8

78.6

47.3

81.3

57.7

50.3

246

Pierce County,Nebraska

82.5

61.5

46.3

59.7

63.3

60.9

57.0

69.6

61.7

68.8

247

Hamilton County,Nebraska

89.0

56.3

49.6

62.1

52.3

59.4

45.9

67.9

71.4

67.6

248

Ottawa County,Michigan

71.4

49.2

60.5

69.5

53.5

61.3

59.0

61.5

63.8

78.7

249

Goodhue County,Minnesota

81.2

57.1

46.9

66.2

42.6

55.9

68.3

75.7

66.0

70.5

250

Poweshiek County,Iowa

73.5

57.4

61.0

57.8

61.7

58.7

72.0

65.3

58.6

68.5

251

Cass County,Nebraska

68.4

69.9

55.1

69.8

41.3

57.7

58.8

75.5

64.0

62.0

252

Rock County,Minnesota

76.9

65.8

53.2

53.3

51.1

64.7

68.8

58.2

64.0

73.8

253

Stark County,North Dakota

67.1

58.9

49.3

77.3

56.0

64.4

58.8

55.1

54.1

88.0

254

Frederick County,Maryland

67.5

41.8

65.7

81.2

41.2

76.3

42.8

76.7

65.3

57.1

255

Lincoln County,Washington

70.2

72.4

41.7

40.2

53.4

69.6

63.1

80.0

71.8

78.6

256

Warren County,New York

70.0

79.1

52.4

58.8

55.1

69.7

45.7

78.5

53.0

62.4

257

Island County,Washington

75.3

69.8

51.5

44.8

51.7

74.7

77.2

77.7

57.3

55.4

258

Houston County,Minnesota

78.6

68.8

33.5

54.3

40.1

66.3

73.6

74.2

67.1

79.1

259

Saunders County,Nebraska

68.9

64.5

51.8

64.4

55.3

66.9

46.2

76.5

66.2

63.2

260

Stillwater County,Montana

65.8

69.7

40.5

60.0

59.4

74.9

66.7

62.0

77.1

50.2

261

Pierce County,Wisconsin

74.9

68.1

50.5

65.5

42.9

68.0

61.2

70.9

59.8

59.8

262

Washtenaw County,Michigan

79.0

36.2

76.9

78.3

48.0

70.3

46.2

44.3

52.6

80.6

263

York County,Maine

63.0

83.5

51.5

64.8

51.0

65.3

46.2

70.6

60.3

64.1

264

Clinton County,Michigan

62.1

71.7

53.9

66.0

55.4

60.0

52.0

74.2

66.7

61.7

265

Bennington County,Vermont

68.8

68.3

62.4

51.4

47.4

69.5

70.2

64.5

59.6

65.8

266

Iowa County,Wisconsin

74.5

68.7

44.5

60.8

62.9

61.3

64.1

77.8

61.8

52.3

267

Perkins County,Nebraska

79.9

61.5

41.6

66.7

78.2

61.1

63.1

63.8

63.4

45.8

268

Anne Arundel County,Maryland

65.6

52.8

62.9

85.5

48.4

74.1

44.0

47.0

54.2

77.6

269

Oakland County,Michigan

67.5

47.9

69.4

82.2

52.0

69.0

36.9

52.8

57.2

76.7

270

Johnson County,Indiana

60.4

78.8

57.6

74.7

47.7

56.3

55.5

48.5

58.9

78.3

271

Kossuth County,Iowa

73.2

51.8

46.6

58.2

61.1

77.4

62.0

57.1

64.4

79.1

272

Lake County,Colorado

78.5

80.2

36.4

58.7

42.7

78.6

88.7

81.1

38.2

48.2

273

Inyo County,California

70.4

61.8

40.8

49.7

63.3

81.3

75.8

71.6

55.9

69.7

274

Washington County,Iowa

80.6

63.7

53.9

60.0

57.9

53.8

54.9

66.7

60.4

71.3

275

Campbell County,Wyoming

67.1

66.1

43.8

67.2

50.0

63.5

72.0

59.5

57.9

83.4

276

Clackamas County,Oregon

80.3

47.4

53.1

78.2

36.9

67.8

41.7

75.8

55.2

80.4

277

Hancock County,Maine

71.3

66.1

43.4

53.5

56.3

71.0

73.6

62.0

74.3

56.2

278

McPherson County,Kansas

66.3

65.6

50.8

63.7

55.9

66.7

60.2

61.7

57.2

79.7

279

Madison County,Iowa

68.1

63.4

49.6

61.6

49.3

58.8

61.0

76.4

74.4

62.7

280

Warrick County,Indiana

60.2

76.2

54.0

66.6

42.4

63.3

55.9

61.8

65.5

73.1

281

Eau Claire County,Wisconsin

76.6

62.5

58.9

62.6

55.0

58.3

53.1

73.3

50.5

72.8

282

Piatt County,Illinois

60.3

67.3

47.3

59.2

48.9

64.2

62.0

81.4

66.2

76.1

283

Columbia County,Wisconsin

70.2

66.7

43.7

64.5

54.8

67.9

58.2

80.5

60.1

59.3

284

Orange County,Vermont

71.8

67.7

51.1

58.4

50.0

79.2

57.3

66.2

64.7

51.5

285

Montgomery County,Virginia

66.3

74.5

61.8

51.4

51.7

66.9

58.1

68.6

43.2

87.6

286

Union County,South Dakota

78.1

56.1

42.4

72.6

52.2

54.3

49.8

79.4

66.5

69.6

287

Wood County,Wisconsin

80.2

68.6

49.2

57.2

59.2

63.3

51.3

73.0

56.1

62.4

288

Fond du Lac County,Wisconsin

71.5

59.3

51.4

63.8

56.0

65.7

48.2

77.5

55.1

76.3

289

Nevada County,California

75.9

50.4

51.2

58.0

49.0

87.8

71.9

72.8

52.0

57.1

290

Nicollet County,Minnesota

70.7

52.1

60.0

59.4

44.7

62.4

66.6

70.8

60.0

80.4

291

Essex County,New York

63.4

63.6

49.4

52.6

50.6

75.0

92.4

78.6

54.5

56.3

292

Woodford County,Illinois

64.2

66.6

46.2

63.7

53.0

61.1

60.2

76.8

64.0

70.5

293

Cherokee County,Georgia

56.8

51.1

53.4

81.8

44.0

72.5

64.1

62.9

75.8

50.7

294

Coffey County,Kansas

66.6

66.5

47.3

60.0

58.8

71.5

68.4

71.2

55.0

61.6

295

Humboldt County,Iowa

66.0

59.9

47.9

55.6

62.5

66.3

70.9

69.6

57.4

78.2

296

Steele County,Minnesota

74.0

58.8

51.4

60.4

45.7

65.2

61.5

68.7

63.5

72.4

297

Berkshire County,Massachusetts

64.4

57.7

68.3

57.7

48.8

77.3

52.1

64.1

56.3

71.9

298

McHenry County,Illinois

64.1

42.1

62.2

80.8

32.8

73.1

60.4

71.1

62.3

65.0

299

San Luis Obispo County,California

78.3

34.3

54.3

63.1

33.0

78.9

82.8

67.3

47.4

92.9

300

Bedford County,Virginia

67.0

75.3

47.9

60.9

61.7

56.5

67.5

61.2

69.6

50.9

301

Waldo County,Maine

67.1

77.5

50.5

52.1

55.2

73.0

63.1

59.6

69.9

47.6

302

Blanco County,Texas

60.1

77.2

49.3

65.9

44.5

59.9

55.0

73.6

84.2

39.8

303

Clay County,Missouri

54.1

66.7

57.9

79.8

50.8

55.5

57.3

45.4

56.9

92.8

304

Adair County,Iowa

71.9

60.8

53.7

52.5

57.6

64.3

74.0

76.5

65.0

49.0

305

Traill County,North Dakota

75.6

42.5

41.0

56.4

73.8

61.8

66.2

84.1

60.7

77.3

306

O'Brien County,Iowa

68.7

42.3

62.3

58.3

51.3

65.8

72.5

73.1

62.1

72.5

307

York County,Nebraska

69.2

61.0

64.3

55.8

64.9

61.1

49.9

65.5

53.4

77.2

308

Charles County,Maryland

64.1

73.0

54.6

75.6

36.9

59.9

56.1

69.5

65.5

50.8

309

Rockland County,New York

74.3

45.5

69.7

83.4

6.5

72.3

50.7

93.4

57.8

45.3

310

Latah County,Idaho

76.4

63.9

61.6

51.0

53.2

69.2

65.7

60.0

43.6

77.5

311

Travis County,Texas

71.2

22.0

70.7

87.4

43.2

72.8

52.3

56.6

48.0

88.5

312

Howard County,Iowa

74.1

57.0

34.6

51.0

68.7

73.4

60.0

70.5

64.0

78.3

313

Boone County,Kentucky

50.7

64.7

56.5

75.8

57.2

56.9

40.7

56.8

65.4

91.3

314

Flathead County,Montana

71.1

71.0

42.7

58.0

50.1

73.7

57.7

49.3

68.1

72.6

315

Frederick County,Virginia

59.2

65.0

53.2

73.0

53.9

67.8

59.6

64.2

69.7

44.1

316

Le Sueur County,Minnesota

70.2

58.5

45.1

61.4

42.7

59.3

66.9

82.3

69.7

66.4

317

Winnebago County,Wisconsin

69.1

61.3

54.8

64.3

56.6

54.6

51.4

75.9

50.6

83.6

318

Caribou County,Idaho

79.7

68.4

35.3

64.1

47.4

65.4

62.4

87.8

56.2

51.0

319

King County,Washington

90.1

18.6

64.2

86.0

40.2

77.1

37.2

61.3

49.4

78.0

320

Fluvanna County,Virginia

65.5

47.4

50.0

67.6

56.4

70.9

73.1

65.1

71.9

50.3

321

Wood County,Ohio

61.2

72.3

66.2

64.8

56.9

48.5

47.9

67.2

48.8

82.0

322

Isanti County,Minnesota

74.1

68.2

51.8

64.1

40.6

69.3

51.2

72.2

72.8

37.0

323

Clermont County,Ohio

49.2

83.4

57.0

71.1

49.7

57.7

53.4

59.1

54.2

78.2

324

Henrico County,Virginia

63.7

37.9

65.4

78.8

50.2

62.1

56.2

64.3

58.2

77.8

325

Sheridan County,Montana

75.6

55.6

37.9

57.7

75.2

67.5

74.5

43.2

67.9

68.1

326

Niobrara County,Wyoming

78.5

45.9

29.3

43.5

78.3

78.4

84.0

87.2

69.8

42.3

327

Carroll County,Iowa

78.1

53.5

55.2

57.9

52.0

57.6

68.4

56.9

61.0

77.4

328

Transylvania County,North Carolina

59.7

72.4

41.7

50.1

66.8

60.9

89.4

66.5

68.5

53.4

329

Laramie County,Wyoming

60.5

54.2

55.4

68.6

54.9

65.6

54.6

70.9

54.0

81.1

330

Dubois County,Indiana

65.6

60.4

60.9

59.0

54.6

60.4

58.7

66.2

62.0

67.4

331

Fayette County,Iowa

62.9

62.8

55.0

49.8

63.9

57.5

66.8

74.5

57.0

79.0

332

Scott County,Kansas

53.4

75.5

44.9

60.0

67.6

59.3

68.0

50.8

55.7

91.4

333

Shelby County,Alabama

62.5

47.2

64.3

75.7

57.7

60.3

50.7

48.4

71.8

66.0

334

Yankton County,South Dakota

86.1

52.6

46.0

60.3

52.3

68.1

65.0

54.2

49.8

81.8

335

Pembina County,North Dakota

64.6

53.0

42.6

56.6

65.3

75.5

48.5

87.0

59.4

73.5

336

Grundy County,Iowa

65.4

54.6

49.6

63.1

54.4

52.4

54.9

75.9

69.7

80.0

337

Faribault County,Minnesota

77.4

53.0

51.4

47.4

50.0

62.6

65.6

76.3

61.0

79.7

338

Hamilton County,New York

60.5

68.6

40.2

49.7

22.1

91.8

81.1

81.3

79.0

41.1

339

Buffalo County,Nebraska

71.2

63.8

59.8

67.0

55.2

55.9

42.7

67.8

47.6

78.5

340

Greene County,Virginia

56.4

77.2

50.2

66.0

37.0

66.7

67.4

67.8

64.7

55.3

341

Deschutes County,Oregon

68.8

51.8

46.2

60.5

40.6

66.9

63.5

58.1

73.1

87.1

342

Dunn County,Wisconsin

77.5

72.1

53.6

57.6

56.9

55.7

49.4

71.6

53.2

61.1

343

Lancaster County,Nebraska

75.0

42.7

69.1

68.1

50.7

55.3

58.2

57.3

48.1

88.1

344

Lincoln County,Minnesota

76.7

48.5

46.6

53.2

47.0

69.5

69.2

77.0

68.6

62.9

345

Cobb County,Georgia

62.2

34.5

61.8

85.5

50.8

71.8

60.5

57.3

52.1

73.2

346

Oneida County,Wisconsin

69.0

73.0

45.8

54.0

62.2

59.9

60.3

57.5

67.9

63.6

347

Arapahoe County,Colorado

69.9

20.9

52.8

85.4

47.8

70.8

55.5

70.0

53.9

89.8

348

Dubuque County,Iowa

71.2

53.6

65.2

62.3

57.3

58.1

42.1

66.2

58.6

73.6

349

Wabaunsee County,Kansas

71.3

87.0

42.7

57.2

69.2

50.1

52.6

63.5

61.8

53.2

350

McLeod County,Minnesota

74.0

70.3

43.7

60.5

44.5

67.0

66.5

66.4

61.2

54.7

351

Fairfield County,Connecticut

71.8

3.1

84.5

82.7

42.3

81.6

43.2

78.5

55.5

59.0

352

Baltimore County,Maryland

60.6

59.6

62.5

79.0

46.4

62.7

57.2

47.1

48.6

80.9

353

Lawrence County,South Dakota

76.7

63.2

42.5

55.7

44.1

68.3

65.3

66.5

57.7

75.1

354

Sheboygan County,Wisconsin

70.2

56.3

51.9

62.8

52.4

59.9

60.9

75.7

56.4

68.6

355

El Paso County,Colorado

70.6

32.7

54.0

66.5

47.6

71.1

70.8

58.2

54.8

94.8

356

Phillips County,Colorado

80.7

41.5

41.4

54.3

36.8

67.9

72.9

73.1

71.0

80.8

357

Franklin County,Vermont

56.9

78.2

50.7

65.4

62.6

64.9

60.1

71.4

48.2

53.6

358

Chickasaw County,Iowa

80.7

53.4

42.0

48.7

66.1

65.5

59.4

74.2

60.4

70.7

359

Kearney County,Nebraska

67.5

65.7

48.2

58.8

63.0

70.0

49.2

61.6

53.7

75.0

360

Grundy County,Illinois

57.0

67.1

53.3

68.1

44.7

66.4

45.0

74.8

67.6

59.8

361

Putnam County,Ohio

62.1

71.6

50.4

62.2

63.1

52.4

38.8

77.9

62.3

69.3

362

Granite County,Montana

81.0

52.1

37.9

48.7

67.7

62.0

78.5

68.8

75.9

46.1

363

Lake County,Illinois

75.9

16.4

70.5

84.4

34.9

74.9

49.3

65.6

53.7

74.6

364

Ravalli County,Montana

71.7

78.0

36.8

51.8

55.6

74.4

57.4

60.2

67.2

53.6

365

Carbon County,Wyoming

64.7

59.0

46.9

62.2

37.6

70.1

74.6

70.7

51.0

81.6

366

Weston County,Wyoming

75.0

63.5

42.2

55.2

58.2

78.3

67.8

77.7

66.9

21.4

367

Gloucester County,New Jersey

53.7

67.4

63.9

75.5

34.6

65.8

42.8

56.5

61.3

74.4

368

Jefferson County,Kansas

67.2

86.0

42.0

64.1

64.9

54.8

58.1

59.5

55.9

52.2

369

Potter County,South Dakota

67.9

40.6

45.5

50.5

73.3

71.4

68.5

51.9

72.8

81.0

370

Dodge County,Wisconsin

68.3

70.5

43.1

58.7

58.2

60.3

55.6

83.2

54.2

62.2

371

Meade County,South Dakota

80.1

69.1

42.1

62.8

36.3

61.5

60.6

73.2

50.3

71.3

372

Clayton County,Iowa

71.5

63.7

39.6

53.9

67.7

63.6

57.3

74.2

63.1

61.4

373

Leelanau County,Michigan

65.5

49.6

35.6

53.2

56.8

72.1

68.1

71.6

82.6

64.5

374

Whatcom County,Washington

75.3

47.5

49.9

56.7

48.2

72.0

60.7

66.7

62.2

72.8

375

Nemaha County,Nebraska

70.9

54.3

51.0

63.2

56.7

60.4

65.0

68.1

56.7

66.1

376

Caledonia County,Vermont

75.1

71.7

51.8

46.3

50.0

74.0

64.3

64.4

56.6

53.2

377

Schuyler County,New York

68.4

67.2

40.6

51.8

71.9

67.9

66.1

81.9

51.0

53.9

378

Chippewa County,Minnesota

73.8

62.4

48.9

53.1

45.3

66.9

74.1

60.2

56.8

71.5

379

Genesee County,New York

68.4

67.2

51.5

59.8

63.2

67.3

55.1

69.6

46.3

61.9

380

Snohomish County,Washington

75.3

48.0

52.7

81.3

35.9

67.6

47.8

70.0

50.7

69.3

381

Franklin County,Maine

66.9

77.6

52.9

48.4

54.2

69.1

62.4

59.2

66.3

47.2

382

Palo Alto County,Iowa

73.0

50.7

54.6

49.7

54.3

55.3

70.1

75.5

59.9

77.4

383

Brown County,Wisconsin

71.7

41.0

59.2

69.2

52.1

57.8

49.7

76.3

52.4

82.0

384

Benton County,Iowa

66.4

63.6

47.3

59.7

55.8

60.3

47.6

78.9

64.9

64.5

385

Middlesex County,New Jersey

72.2

30.0

75.6

87.7

31.8

72.3

33.0

82.1

41.2

66.8

386

Union County,Ohio

56.0

60.8

41.0

72.0

56.4

57.0

59.4

73.3

70.0

66.1

387

Waupaca County,Wisconsin

65.9

67.0

43.3

54.1

68.4

62.7

64.4

72.4

59.4

58.5

388

Clay County,Minnesota

58.9

65.4

51.3

61.2

47.4

62.6

54.1

73.4

56.5

82.0

389

Kewaunee County,Wisconsin

68.3

73.2

34.7

55.7

57.8

56.7

69.5

76.2

65.3

57.8

390

Gloucester County,Virginia

57.3

80.6

53.9

61.2

51.7

56.7

59.8

70.4

62.6

49.4

391

Plymouth County,Massachusetts

56.6

38.2

74.1

78.7

48.3

72.5

43.2

71.6

60.1

53.0

392

Sauk County,Wisconsin

76.6

65.9

44.5

57.8

53.7

54.2

64.2

68.0

60.0

63.8

393

Winona County,Minnesota

68.8

55.7

60.3

56.3

44.9

58.0

69.7

75.7

53.8

69.9

394

Sibley County,Minnesota

74.2

65.3

39.0

53.4

43.9

60.6

69.1

85.5

65.1

57.2

395

Kennebec County,Maine

78.8

84.5

50.5

51.7

51.3

53.0

55.1

57.4

59.4

56.0

396

Fremont County,Idaho

69.5

77.7

28.7

58.8

54.6

69.9

59.3

70.3

58.2

62.6

397

Ogle County,Illinois

64.8

68.2

46.6

61.3

56.6

57.2

59.9

76.2

56.6

62.9

398

Marquette County,Michigan

67.7

71.7

51.2

46.4

59.0

56.9

66.1

70.4

52.5

74.7

399

Warren County,New Jersey

58.1

55.5

62.6

74.0

43.1

74.1

48.2

82.6

53.3

46.7

400

Jo Daviess County,Illinois

66.0

64.2

37.1

57.6

53.1

72.5

61.8

75.1

62.6

62.0

401

Ottawa County,Ohio

54.4

71.5

62.1

55.8

57.6

58.4

44.3

71.3

62.8

67.1

402

Converse County,Wyoming

64.4

76.7

51.4

60.8

34.8

59.4

72.4

65.6

63.0

52.5

403

Douglas County,Kansas

70.3

55.5

66.2

61.8

47.4

58.9

65.1

56.8

38.6

88.6

404

White Pine County,Nevada

53.5

71.5

39.9

51.0

83.5

69.1

62.3

78.0

51.5

63.5

405

Bayfield County,Wisconsin

67.3

59.1

38.4

44.4

63.0

77.1

63.8

59.8

78.9

61.3

406

Kitsap County,Washington

74.9

70.0

54.2

53.1

44.1

74.2

52.2

62.6

50.4

64.2

407

Cuming County,Nebraska

74.7

61.3

45.5

54.8

65.0

64.1

62.0

66.8

53.8

62.5

408

Watonwan County,Minnesota

76.4

61.8

41.1

49.8

40.6

74.2

70.5

72.9

57.1

67.4

409

Chippewa County,Wisconsin

70.2

76.3

40.6

61.1

51.6

58.5

52.1

70.4

59.1

63.0

410

Kinney County,Texas

55.1

84.2

40.7

45.5

31.7

93.4

69.0

91.5

57.6

40.9

411

New London County,Connecticut

58.3

39.8

76.5

65.8

54.1

74.3

50.9

68.8

49.6

66.1

412

Gillespie County,Texas

67.6

52.8

52.3

60.9

47.4

64.5

57.2

59.6

74.9

64.5

413

Augusta County,Virginia

55.1

73.8

40.3

60.4

68.9

59.8

68.9

64.5

61.3

60.8

414

Hot Springs County,Wyoming

71.8

54.1

64.6

48.6

36.7

69.4

57.5

50.8

68.7

78.3

415

Centre County,Pennsylvania

65.4

62.3

68.1

58.9

59.3

58.4

40.0

68.1

50.1

70.7

416

Hawaii County,Hawaii

80.7

55.2

61.0

47.6

33.5

85.5

62.1

65.2

53.3

54.8

417

Polk County,North Carolina

61.3

57.8

53.3

49.1

61.4

64.9

79.5

59.9

72.7

52.4

418

Wright County,Iowa

58.2

57.0

48.0

52.3

58.6

62.8

72.7

71.5

57.7

84.2

419

Tooele County,Utah

59.9

73.5

48.7

71.1

41.8

56.2

56.5

71.3

54.1

69.0

420

Albany County,New York

75.3

33.3

61.4

72.4

49.2

68.8

44.2

75.5

44.5

79.3

421

Minnehaha County,South Dakota

77.3

43.5

49.5

70.0

53.5

53.7

58.3

63.5

51.5

88.2

422

Sandoval County,New Mexico

71.1

45.0

47.9

63.3

49.4

71.9

50.6

56.5

73.0

72.5

423

Seminole County,Florida

51.5

51.1

60.8

75.2

43.0

66.9

60.0

58.9

58.3

77.6

424

Paulding County,Georgia

50.9

77.3

47.7

72.6

40.3

64.9

65.8

62.4

70.7

42.6

425

Judith Basin County,Montana

64.0

40.4

18.4

54.9

100.0

89.4

67.4

67.9

72.0

51.3

426

San Francisco County,California

95.2

14.7

72.7

85.8

22.7

74.8

60.3

59.4

43.0

56.1

427

Madison County,New York

62.5

71.1

48.6

55.4

57.2

70.7

59.7

68.0

49.6

65.8

428

Dolores County,Colorado

67.6

51.4

22.7

35.7

76.8

87.1

88.2

71.5

78.8

48.3

429

Fillmore County,Minnesota

74.8

58.4

34.2

51.9

39.7

66.9

77.5

82.4

67.5

60.1

430

Hanson County,South Dakota

76.6

46.8

39.5

57.2

68.4

54.6

59.5

66.4

70.5

72.3

431

Boone County,Missouri

67.5

49.1

71.3

64.0

53.8

56.7

60.2

51.9

52.0

74.3

432

Juab County,Utah

67.6

91.2

29.9

55.7

34.1

55.3

65.5

85.0

57.8

65.5

433

Jefferson County,Iowa

75.1

42.0

46.4

52.8

63.0

59.0

69.9

63.7

67.8

74.7

434

Phelps County,Nebraska

72.0

55.0

51.8

58.0

58.0

58.5

48.2

65.7

57.9

80.7

435

Tompkins County,New York

70.6

54.9

71.8

56.2

58.6

71.6

49.0

67.4

39.3

60.2

436

Stanton County,Nebraska

67.9

59.5

52.9

65.5

62.4

44.7

51.7

68.4

58.5

72.8

437

Pope County,Minnesota

69.2

52.9

39.6

56.8

43.1

67.6

56.7

84.6

74.5

62.3

438

Trempealeau County,Wisconsin

76.4

64.5

44.3

53.7

48.1

61.9

63.9

80.9

57.2

54.3

439

Henry County,Iowa

68.7

55.2

54.7

53.9

63.3

51.5

74.8

63.3

54.6

73.7

440

Douglas County,South Dakota

71.3

54.8

27.2

60.5

60.7

57.3

67.0

76.4

68.7

71.3

441

Jones County,Iowa

69.1

64.1

55.3

54.1

61.2

52.4

47.4

77.3

59.6

63.6

442

Tioga County,New York

62.2

76.8

48.0

62.0

62.6

61.4

41.8

72.6

48.9

65.0

443

Christian County,Missouri

48.3

78.5

50.6

64.7

58.3

52.6

46.3

60.5

71.7

67.6

444

Clarke County,Virginia

55.1

51.2

50.4

67.5

51.2

76.0

62.6

77.1

74.2

34.6

445

Polk County,Iowa

73.1

27.1

65.6

74.7

49.2

53.1

45.3

61.4

60.8

89.6

446

Grant County,Minnesota

66.9

58.9

38.3

51.9

56.6

61.1

61.3

71.9

78.9

63.5

447

Delaware County,Pennsylvania

61.3

36.3

75.5

76.5

49.1

69.0

52.3

52.7

53.8

65.8

448

Ventura County,California

73.6

28.3

56.7

80.9

16.8

81.1

64.6

75.6

43.5

78.0

449

Worcester County,Massachusetts

63.0

41.6

71.8

73.0

47.3

75.9

40.7

67.2

49.8

61.3

450

Marathon County,Wisconsin

68.6

55.3

53.8

62.8

58.5

59.7

51.6

66.5

57.6

66.5

451

Lyon County,Iowa

66.7

55.6

36.1

58.5

53.9

62.6

64.7

71.8

70.7

69.2

452

Guthrie County,Iowa

69.0

53.9

46.6

56.9

63.6

59.7

65.1

71.9

67.7

51.5

453

San Diego County,California

82.0

22.8

59.4

77.3

27.0

77.8

62.8

72.4

31.3

90.3

454

Putnam County,Illinois

62.3

68.6

45.4

57.1

52.5

62.0

64.9

75.3

62.6

53.9

455

Shelby County,Iowa

67.8

58.0

40.8

58.3

54.2

60.3

65.2

76.6

63.9

63.2

456

Mercer County,Ohio

62.6

69.6

49.5

59.5

62.4

52.2

52.4

66.3

57.8

71.3

457

Yellow Medicine County,Minnesota

74.0

63.9

44.0

55.5

45.1

67.8

68.0

62.6

64.0

53.8

458

Jasper County,Iowa

64.2

73.4

48.3

55.0

54.3

52.9

60.1

72.6

56.6

67.8

459

Red Willow County,Nebraska

64.0

62.7

52.2

57.6

51.4

64.2

66.5

54.8

59.5

69.4

460

Hennepin County,Minnesota

83.0

0.0

74.6

79.2

41.3

69.9

40.4

60.8

58.2

84.8

461

Oconto County,Wisconsin

67.4

75.8

39.2

55.3

58.3

51.4

65.0

68.4

66.1

56.7

462

Lake County,Ohio

52.1

63.2

58.1

67.1

51.0

59.9

57.5

68.3

53.1

73.1

463

Leavenworth County,Kansas

67.9

62.3

62.5

62.3

52.1

54.5

58.4

63.6

43.3

73.3

464

Spotsylvania County,Virginia

58.5

67.8

52.9

72.9

41.2

57.2

55.9

70.9

68.2

43.8

465

Emery County,Utah

62.0

88.6

34.2

40.7

65.6

53.3

67.0

85.7

49.6

73.2

466

Jefferson County,West Virginia

51.5

78.2

46.6

65.1

49.2

66.0

51.7

74.8

65.6

46.3

467

Davison County,South Dakota

73.6

57.8

48.8

56.7

51.5

48.3

72.5

67.2

45.2

91.2

468

Sac County,Iowa

64.5

60.1

49.9

58.2

62.6

59.6

61.3

68.8

58.8

60.0

469

Whitley County,Indiana

60.9

85.1

54.1

61.0

50.3

51.5

43.4

56.5

61.8

63.9

470

Schuyler County,Illinois

58.4

76.3

38.0

46.7

62.0

59.8

61.6

87.6

70.7

47.6

471

Kootenai County,Idaho

69.1

64.6

41.9

58.2

46.7

65.1

53.4

61.4

61.6

77.3

472

Big Horn County,Wyoming

61.4

72.1

53.3

50.8

45.6

69.2

73.3

59.9

55.6

60.0

473

Cerro Gordo County,Iowa

70.1

57.4

56.5

57.1

59.5

56.8

55.5

51.3

55.3

79.9

474

Platte County,Nebraska

71.4

59.1

57.9

61.6

41.5

61.5

57.0

53.9

51.8

78.5

475

Hamilton County,Iowa

64.3

63.5

52.3

54.8

62.3

56.0

70.5

66.5

50.0

67.5

476

Union County,North Carolina

61.7

33.1

55.2

74.4

43.1

65.7

65.0

57.4

78.7

59.9

477

Whitman County,Washington

69.5

63.9

75.2

42.5

52.2

62.6

65.6

70.5

26.0

79.4

478

Porter County,Indiana

53.3

70.6

59.8

67.0

51.3

64.0

52.7

48.1

57.9

65.5

479

Butler County,Iowa

62.6

67.0

47.1

52.4

58.1

50.4

52.8

81.1

61.6

74.0

480

Stevens County,Minnesota

83.5

52.5

41.8

55.5

45.1

58.3

66.5

65.3

63.6

67.5

481

Adams County,Nebraska

68.7

54.5

68.0

58.0

55.1

56.1

44.5

59.2

51.0

79.9

482

Clay County,Florida

51.2

83.6

49.5

68.8

46.1

59.0

49.6

41.8

73.1

61.0

483

Hancock County,Ohio

59.1

67.3

58.1

62.5

58.7

47.0

47.0

63.9

52.5

83.2

484

Union County,Georgia

59.4

70.9

39.8

45.9

50.8

56.8

92.8

57.7

80.0

53.7

485

Green Lake County,Wisconsin

76.3

67.1

36.2

55.0

53.3

63.8

49.1

83.3

60.7

52.6

486

Garden County,Nebraska

64.6

46.6

48.7

50.0

76.7

49.7

71.2

71.8

79.3

51.4

487

Jefferson County,Idaho

67.9

72.8

36.6

54.7

48.9

58.5

59.1

71.3

66.8

62.9

488

Custer County,Colorado

73.8

42.3

14.1

47.9

30.6

90.9

100.0

63.1

100.0

44.9

489

Clark County,Washington

73.3

51.4

49.3

70.9

36.2

61.7

62.1

63.9

53.6

71.2

490

Contra Costa County,California

83.9

14.3

66.0

84.0

23.2

75.9

62.8

61.2

47.0

67.7

491

Rensselaer County,New York

61.5

52.2

57.0

70.0

49.5

72.3

40.2

72.2

44.0

76.5

492

Natrona County,Wyoming

58.9

64.9

58.3

57.6

51.5

59.7

71.7

49.5

52.1

76.9

493

Clinton County,Illinois

65.9

64.1

45.0

62.3

51.4

61.4

65.4

60.4

59.3

62.1

494

Ward County,North Dakota

66.3

80.9

46.3

70.4

50.3

59.8

50.3

53.8

39.3

72.0

495

McIntosh County,North Dakota

76.3

35.6

25.9

52.9

82.7

75.9

72.7

59.9

64.9

68.9

496

Sonoma County,California

80.3

21.9

54.0

73.8

28.0

81.0

73.7

75.7

38.0

74.4

497

Rockingham County,Virginia

59.1

60.7

46.8

60.8

66.3

59.5

59.8

69.7

59.4

60.8

498

Cache County,Utah

81.7

32.3

57.9

64.1

43.7

68.7

63.1

74.5

37.1

79.0

499

Jerauld County,South Dakota

82.4

25.5

25.5

58.8

84.3

72.9

63.0

67.1

65.1

68.3

500

Emmet County,Iowa

70.3

45.9

60.0

43.8

48.6

60.9

69.6

64.5

55.9

90.3

The 2018 Healthiest Communities rankings were created in collaboration with the Aetna Foundation, the independent charitable and philanthropic arm of Aetna. The University of Missouri Center for Applied Research and Engagement Systems – a research institution skilled in understanding natural resource systems, public health risks and community health assessment – performed data collection and analysis.

The overall rankings identify the top 500 Healthiest Communities in America, ranging from No. 1Falls Church city, Virginia, to No. 500Emmet County, Iowa.

Beyond the rankings, the Healthiest Communities platform offers data and insight on each of the nearly 3,000 communities evaluated, fostering insights and analysis that will educate and inform consumers and policymakers on what’s occurring in their communities.

SOURCE WASHINGTON,March 26, 2018/PRNewswire-USNewswire/ -- U.S. News & World Reportwww.usnews.com