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 98 counties, followed by Outage Vulnerability in 52 counties.

Fulton County carries the highest overall need in the state, with an opportunity score of 75 out of 100 (high). Higher scores mean more burden relative to the rest of the country.

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

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.