State index
Alabama
Environmental and community health profiles for all 67 counties in Alabama. Sorted by opportunity score (highest need first).
67
Counties
64
Avg opportunity score
22
Converging-risk counties
What the data shows in Alabama
Across Alabama's 67 counties, 22 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 Heat-Dialysis Vulnerability in 39 counties.
Greene County carries the highest overall need in the state, with an opportunity score of 79 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 | 79 | 58 | 75 | 95 | 78 | 7,341 |
| Lowndes County 01085 | 78 | 63 | 73 | 85 | 85 | 9,717 |
| Dallas County 01047 | 76 | 63 | 71 | 82 | 76 | 36,165 |
| Barbour County 01005 | 74 | 60 | 69 | 85 | 70 | 24,585 |
| Choctaw County 01023 | 74 | 58 | 76 | 74 | 74 | 12,252 |
| Perry County 01105 | 74 | 49 | 76 | 90 | 64 | 7,738 |
| Wilcox County 01131 | 74 | 55 | 76 | 74 | 84 | 9,944 |
| Hale County 01065 | 73 | 58 | 67 | 84 | 72 | 14,888 |
| Bullock County 01011 | 73 | 44 | 72 | 86 | 84 | 9,897 |
| Marengo County 01091 | 73 | 59 | 67 | 85 | 65 | 18,684 |
| Jackson County 01071 | 72 | 69 | 73 | 79 | 54 | 53,467 |
| Conecuh County 01035 | 72 | 50 | 79 | 73 | 67 | 11,174 |
| Fayette County 01057 | 72 | 55 | 74 | 78 | 64 | 15,967 |
| Monroe County 01099 | 72 | 58 | 74 | 81 | 57 | 19,229 |
| Clarke County 01025 | 71 | 57 | 66 | 87 | 62 | 22,337 |
| Winston County 01133 | 71 | 46 | 78 | 85 | 58 | 23,611 |
| Macon County 01087 | 71 | 61 | 61 | 80 | 72 | 18,370 |
| Talladega County 01121 | 70 | 72 | 61 | 77 | 60 | 81,132 |
| Clay County 01027 | 70 | 49 | 72 | 81 | 62 | 14,111 |
| Washington County 01129 | 69 | 68 | 66 | 71 | 58 | 15,022 |
| Chambers County 01017 | 69 | 52 | 66 | 79 | 66 | 34,079 |
| Lamar County 01075 | 69 | 55 | 75 | 76 | 55 | 13,661 |
| Russell County 01113 | 69 | 57 | 57 | 81 | 73 | 58,744 |
| Walker County 01127 | 69 | 57 | 67 | 78 | 61 | 64,728 |
| Coosa County 01037 | 69 | 58 | 73 | 72 | 57 | 10,268 |
| Crenshaw County 01041 | 68 | 49 | 64 | 83 | 64 | 13,101 |
| Etowah County 01055 | 68 | 64 | 64 | 78 | 56 | 103,241 |
| Bibb County 01007 | 68 | 57 | 63 | 84 | 57 | 21,868 |
| Henry County 01067 | 68 | 58 | 67 | 83 | 54 | 17,899 |
| DeKalb County 01049 | 68 | 57 | 65 | 78 | 58 | 72,569 |
| Butler County 01013 | 68 | 43 | 70 | 80 | 63 | 18,382 |
| Cherokee County 01019 | 67 | 53 | 75 | 79 | 50 | 25,666 |
| Franklin County 01059 | 67 | 48 | 64 | 78 | 65 | 31,802 |
| Pickens County 01107 | 67 | 51 | 63 | 81 | 61 | 18,688 |
| Randolph County 01111 | 67 | 44 | 66 | 85 | 59 | 22,786 |
| Sumter County 01119 | 67 | 37 | 64 | 82 | 79 | 11,727 |
| Calhoun County 01015 | 65 | 65 | 54 | 77 | 58 | 116,429 |
| Marion County 01093 | 65 | 53 | 73 | 74 | 50 | 29,244 |
| Cleburne County 01029 | 65 | 58 | 62 | 71 | 59 | 15,639 |
| Lawrence County 01079 | 65 | 62 | 64 | 75 | 51 | 33,502 |
| Geneva County 01061 | 64 | 57 | 72 | 56 | 57 | 26,988 |
| Escambia County 01053 | 64 | 61 | 73 | 41 | 64 | 36,558 |
| Blount County 01009 | 63 | 58 | 53 | 81 | 55 | 59,816 |
| Colbert County 01033 | 63 | 59 | 57 | 80 | 49 | 58,361 |
| Tallapoosa County 01123 | 62 | 42 | 68 | 76 | 52 | 40,677 |
| Dale County 01045 | 62 | 56 | 58 | 76 | 52 | 49,871 |
| Marshall County 01095 | 61 | 63 | 51 | 80 | 47 | 100,756 |
| Cullman County 01043 | 61 | 64 | 52 | 79 | 47 | 92,016 |
| Houston County 01069 | 60 | 63 | 59 | 60 | 53 | 108,462 |
| Mobile County 01097 | 60 | 51 | 42 | 80 | 62 | 411,640 |
| Montgomery County 01101 | 60 | 49 | 43 | 80 | 62 | 224,980 |
| Covington County 01039 | 59 | 55 | 72 | 45 | 52 | 37,952 |
| Coffee County 01031 | 59 | 56 | 50 | 79 | 48 | 55,643 |
| Jefferson County 01073 | 59 | 58 | 35 | 79 | 62 | 662,895 |
| Pike County 01109 | 59 | 54 | 43 | 76 | 58 | 33,137 |
| Morgan County 01103 | 58 | 58 | 48 | 77 | 49 | 125,133 |
| Chilton County 01021 | 56 | 48 | 49 | 76 | 51 | 46,431 |
| Autauga County 01001 | 55 | 66 | 37 | 81 | 44 | 60,342 |
| St. Clair County 01115 | 54 | 54 | 41 | 78 | 45 | 95,552 |
| Lauderdale County 01077 | 52 | 48 | 44 | 77 | 44 | 96,814 |
| Elmore County 01051 | 50 | 52 | 35 | 77 | 42 | 90,441 |
| Lee County 01081 | 49 | 52 | 23 | 79 | 49 | 183,215 |
| Tuscaloosa County 01125 | 47 | 38 | 26 | 80 | 50 | 237,373 |
| Limestone County 01083 | 46 | 57 | 28 | 77 | 33 | 114,654 |
| Baldwin County 01003 | 43 | 37 | 44 | 58 | 40 | 253,507 |
| Shelby County 01117 | 43 | 62 | 20 | 79 | 29 | 233,000 |
| Madison County 01089 | 42 | 54 | 18 | 77 | 34 | 412,600 |
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.