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.

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