Data / Rankings / High blood pressure in adults, local model estimate / Counties in Missouri

Counties in Missouri by high blood pressure in adults, local model estimate

Hickory County had the highest high blood pressure in adults, local model estimate of 115 counties in 2021, at 46.5%. Boone County had the lowest, at 28.2%. The median was 39.3%. Source: the Centers for Disease Control and Prevention.

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Highest46.5Hickory County
Lowest28.2Boone County
Median39.3115 counties

Map of counties, 2021

Adair County: 28.7 %Andrew County: 36.6 %Atchison County: 41.4 %Audrain County: 39.8 %Barry County: 39.7 %Barton County: 40.5 %Bates County: 39.3 %Benton County: 45.3 %Bollinger County: 41.5 %Boone County: 28.2 %Buchanan County: 36.3 %Butler County: 40 %Caldwell County: 37.7 %Callaway County: 35.3 %Camden County: 39.9 %Cape Girardeau County: 35.4 %Carroll County: 38.3 %Carter County: 38.7 %Cass County: 34.2 %Cedar County: 43.2 %Chariton County: 41 %Christian County: 34.1 %Clark County: 39.6 %Clay County: 32.9 %Clinton County: 37.3 %Cole County: 37.7 %Cooper County: 38.4 %Crawford County: 41.1 %Dade County: 43.4 %Dallas County: 41.5 %Daviess County: 39.4 %DeKalb County: 37.5 %Dent County: 42.4 %Douglas County: 43.6 %Dunklin County: 43.5 %Franklin County: 36.4 %Gasconade County: 39.9 %Gentry County: 39.7 %Greene County: 33 %Grundy County: 39.3 %Harrison County: 42.5 %Henry County: 40.1 %Hickory County: 46.5 %Holt County: 40.5 %Howard County: 35.1 %Howell County: 39.5 %Iron County: 41.3 %Jackson County: 36.4 %Jasper County: 36.1 %Jefferson County: 36.5 %Johnson County: 29.9 %Knox County: 40.5 %Laclede County: 39.9 %Lafayette County: 39.2 %Lawrence County: 37.6 %Lewis County: 38.1 %Lincoln County: 36.4 %Linn County: 39.4 %Livingston County: 35.7 %McDonald County: 38 %Macon County: 38.8 %Madison County: 37.5 %Maries County: 38.8 %Marion County: 35.5 %Mercer County: 41.1 %Miller County: 39.4 %Mississippi County: 43.4 %Moniteau County: 36.2 %Monroe County: 41.5 %Montgomery County: 39.5 %Morgan County: 42.7 %New Madrid County: 43.8 %Newton County: 38.3 %Nodaway County: 31.2 %Oregon County: 44.4 %Osage County: 32.8 %Ozark County: 46.5 %Pemiscot County: 43.1 %Perry County: 37.5 %Pettis County: 38.7 %Phelps County: 33.7 %Pike County: 39.6 %Platte County: 33.7 %Polk County: 36.7 %Pulaski County: 28.7 %Putnam County: 40.7 %Ralls County: 40.4 %Randolph County: 35.3 %Ray County: 38.3 %Reynolds County: 42.4 %Ripley County: 44.1 %St. Charles County: 32.2 %St. Clair County: 42 %Ste. Genevieve County: 37.2 %St. Francois County: 38.7 %St. Louis County: 35.1 %Saline County: 34.9 %Schuyler County: 36.7 %Scotland County: 37.5 %Scott County: 39.8 %Shannon County: 43.1 %Shelby County: 40.1 %Stoddard County: 39.3 %Stone County: 43.7 %Sullivan County: 40.2 %Taney County: 37.3 %Texas County: 43.2 %Vernon County: 38.3 %Warren County: 35.4 %Washington County: 39.6 %Wayne County: 44.6 %Webster County: 36.4 %Worth County: 42.3 %Wright County: 40.9 %St. Louis city: 35.1 %
  • Under 35
  • 35 to 38
  • 38 to 39
  • 39 to 40
  • 40 to 42
  • 42 and over
%, 2021. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Hickory County: 46.5 %Hickory County46.5Ozark County: 46.5 %Ozark County46.5Benton County: 45.3 %Benton County45.3Wayne County: 44.6 %Wayne County44.6Oregon County: 44.4 %Oregon County44.4Ripley County: 44.1 %Ripley County44.1New Madrid County: 43.8 %New Madrid County43.8Stone County: 43.7 %Stone County43.7Douglas County: 43.6 %Douglas County43.6Dunklin County: 43.5 %Dunklin County43.5Dade County: 43.4 %Dade County43.4Mississippi County: 43.4 %Mississippi County43.4Cedar County: 43.2 %Cedar County43.2Texas County: 43.2 %Texas County43.2Pemiscot County: 43.1 %Pemiscot County43.1Shannon County: 43.1 %Shannon County43.1Morgan County: 42.7 %Morgan County42.7Harrison County: 42.5 %Harrison County42.5Dent County: 42.4 %Dent County42.4Reynolds County: 42.4 %Reynolds County42.4Worth County: 42.3 %Worth County42.3St. Clair County: 42 %St. Clair County42Bollinger County: 41.5 %Bollinger County41.5Dallas County: 41.5 %Dallas County41.5Monroe County: 41.5 %Monroe County41.5Atchison County: 41.4 %Atchison County41.4Iron County: 41.3 %Iron County41.3Crawford County: 41.1 %Crawford County41.1Mercer County: 41.1 %Mercer County41.1Chariton County: 41 %Chariton County41Wright County: 40.9 %Wright County40.9Putnam County: 40.7 %Putnam County40.7Barton County: 40.5 %Barton County40.5Holt County: 40.5 %Holt County40.5Knox County: 40.5 %Knox County40.5Ralls County: 40.4 %Ralls County40.4Sullivan County: 40.2 %Sullivan County40.2Henry County: 40.1 %Henry County40.1Shelby County: 40.1 %Shelby County40.1Butler County: 40 %Butler County40Hickory County: 46.5 %Hickory County46.5Ozark County: 46.5 %Ozark County46.5Benton County: 45.3 %Benton County45.3Wayne County: 44.6 %Wayne County44.6Oregon County: 44.4 %Oregon County44.4Ripley County: 44.1 %Ripley County44.1New Madrid County: 43.8 %New Madrid County43.8Stone County: 43.7 %Stone County43.7Douglas County: 43.6 %Douglas County43.6Dunklin County: 43.5 %Dunklin County43.5Dade County: 43.4 %Dade County43.4Mississippi County: 43.4 %Mississippi County43.4Cedar County: 43.2 %Cedar County43.2Texas County: 43.2 %Texas County43.2Pemiscot County: 43.1 %Pemiscot County43.1Shannon County: 43.1 %Shannon County43.1Morgan County: 42.7 %Morgan County42.7Harrison County: 42.5 %Harrison County42.5Dent County: 42.4 %Dent County42.4Reynolds County: 42.4 %Reynolds County42.4Worth County: 42.3 %Worth County42.3St. Clair County: 42 %St. Clair County42Bollinger County: 41.5 %Bollinger County41.5Dallas County: 41.5 %Dallas County41.5Monroe County: 41.5 %Monroe County41.5Atchison County: 41.4 %Atchison County41.4Iron County: 41.3 %Iron County41.3Crawford County: 41.1 %Crawford County41.1Mercer County: 41.1 %Mercer County41.1Chariton County: 41 %Chariton County41Wright County: 40.9 %Wright County40.9Putnam County: 40.7 %Putnam County40.7Barton County: 40.5 %Barton County40.5Holt County: 40.5 %Holt County40.5Knox County: 40.5 %Knox County40.5Ralls County: 40.4 %Ralls County40.4Sullivan County: 40.2 %Sullivan County40.2Henry County: 40.1 %Henry County40.1Shelby County: 40.1 %Shelby County40.1Butler County: 40 %Butler County40
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Hickory County46.5
1Ozark County46.5
3Benton County45.3
4Wayne County44.6
5Oregon County44.4
6Ripley County44.1
7New Madrid County43.8
8Stone County43.7
9Douglas County43.6
10Dunklin County43.5
11Dade County43.4
11Mississippi County43.4
13Cedar County43.2
13Texas County43.2
15Pemiscot County43.1
15Shannon County43.1
17Morgan County42.7
18Harrison County42.5
19Dent County42.4
19Reynolds County42.4
21Worth County42.3
22St. Clair County42
23Bollinger County41.5
23Dallas County41.5
23Monroe County41.5
26Atchison County41.4
27Iron County41.3
28Crawford County41.1
28Mercer County41.1
30Chariton County41
31Wright County40.9
32Putnam County40.7
33Barton County40.5
33Holt County40.5
33Knox County40.5
36Ralls County40.4
37Sullivan County40.2
38Henry County40.1
38Shelby County40.1
40Butler County40
41Camden County39.9
41Gasconade County39.9
41Laclede County39.9
44Audrain County39.8
44Scott County39.8
46Barry County39.7
46Gentry County39.7
48Clark County39.6
48Pike County39.6
48Washington County39.6
51Howell County39.5
51Montgomery County39.5
53Daviess County39.4
53Linn County39.4
53Miller County39.4
56Bates County39.3
56Grundy County39.3
56Stoddard County39.3
59Lafayette County39.2
60Macon County38.8
60Maries County38.8
62Carter County38.7
62Pettis County38.7
62St. Francois County38.7
65Cooper County38.4
66Carroll County38.3
66Newton County38.3
66Ray County38.3
66Vernon County38.3
70Lewis County38.1
71McDonald County38
72Caldwell County37.7
72Cole County37.7
74Lawrence County37.6
75DeKalb County37.5
75Madison County37.5
75Perry County37.5
75Scotland County37.5
79Clinton County37.3
79Taney County37.3
81Ste. Genevieve County37.2
82Polk County36.7
82Schuyler County36.7
84Andrew County36.6
85Jefferson County36.5
86Franklin County36.4
86Jackson County36.4
86Lincoln County36.4
86Webster County36.4
90Buchanan County36.3
91Moniteau County36.2
92Jasper County36.1
93Livingston County35.7
94Marion County35.5
95Cape Girardeau County35.4
95Warren County35.4
97Callaway County35.3
97Randolph County35.3
99Howard County35.1
99St. Louis city35.1
99St. Louis County35.1
102Saline County34.9
103Cass County34.2
104Christian County34.1
105Phelps County33.7
105Platte County33.7
107Greene County33
108Clay County32.9
109Osage County32.8
110St. Charles County32.2
111Nodaway County31.2
112Johnson County29.9
113Adair County28.7
113Pulaski County28.7
115Boone County28.2

Other periods

About this ranking

Percentage of adults who have ever been told by a doctor, nurse or other health professional that they have high blood pressure. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2021; its eight former counties are not served. The question is asked in odd years only.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence (Counties in Missouri by high blood pressure in adults, local model estimate, 2021) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence, Counties in Missouri by high blood pressure in adults, local model estimate, 2021. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/missouri-counties?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. Counties in Missouri by high blood pressure in adults, local model estimate, 2021. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/missouri-counties?period=2021.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence, Counties in Missouri by high blood pressure in adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/missouri-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_by_2021,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence: Counties in Missouri by high blood pressure in adults, local model estimate, 2021}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/missouri-counties?period=2021. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence: Counties in Missouri by high blood pressure in adults, local model estimate, 2021
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/missouri-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-blood-pressure-rate-county-estimate/missouri-counties?period=2021.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Rank Counties in Missouri by high blood pressure in adults, local model estimate using official data, and cite the source.
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Questions

Which county has the highest high blood pressure in adults, local model estimate?

Hickory County, with 46.5% in 2021, according to the Centers for Disease Control and Prevention.

Which county has the lowest high blood pressure in adults, local model estimate?

Boone County, with 28.2% in 2021.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high blood pressure in adults, crude prevalence. Retrieved 2026-10-12.

High blood pressure in adults, local model estimate: other rankings

Counties in Missouri: more rankings