Counties in Alabama by high cholesterol in screened adults, local model estimate

Choctaw County had the highest high cholesterol in screened adults, local model estimate of 67 counties in 2021, at 41.7%. Lee County had the lowest, at 32.4%. The median was 38.9%. Source: the Centers for Disease Control and Prevention.

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Highest41.7Choctaw County
Lowest32.4Lee County
Median38.967 counties

Map of counties, 2021

Autauga County: 35.9 %Baldwin County: 38.9 %Barbour County: 39.4 %Bibb County: 38.6 %Blount County: 40 %Bullock County: 37.9 %Butler County: 39.8 %Calhoun County: 37.4 %Chambers County: 39.5 %Cherokee County: 40.9 %Chilton County: 38.3 %Choctaw County: 41.7 %Clarke County: 38.8 %Clay County: 40.6 %Cleburne County: 40.1 %Coffee County: 34.7 %Colbert County: 38.7 %Conecuh County: 40.5 %Coosa County: 41.3 %Covington County: 38.8 %Crenshaw County: 39.7 %Cullman County: 39.2 %Dale County: 38.4 %Dallas County: 38.3 %DeKalb County: 40 %Elmore County: 35.2 %Escambia County: 37.1 %Etowah County: 39.1 %Fayette County: 41.1 %Franklin County: 38.5 %Geneva County: 41.3 %Greene County: 41.1 %Hale County: 38.9 %Henry County: 40.5 %Houston County: 36.7 %Jackson County: 40.7 %Jefferson County: 35.4 %Lamar County: 40.1 %Lauderdale County: 38.7 %Lawrence County: 39.2 %Lee County: 32.4 %Limestone County: 36.9 %Lowndes County: 38.3 %Macon County: 36.1 %Madison County: 35.1 %Marengo County: 39.7 %Marion County: 40.5 %Marshall County: 37.9 %Mobile County: 37.8 %Monroe County: 40.5 %Montgomery County: 34.9 %Morgan County: 39.6 %Perry County: 40.1 %Pickens County: 38.4 %Pike County: 33.6 %Randolph County: 39.1 %Russell County: 36.6 %St. Clair County: 38.4 %Shelby County: 35.5 %Sumter County: 37.3 %Talladega County: 39.5 %Tallapoosa County: 41.4 %Tuscaloosa County: 34.3 %Walker County: 39.7 %Washington County: 40.6 %Wilcox County: 39.6 %Winston County: 40.5 %
  • Under 37
  • 37 to 38
  • 38 to 39
  • 39 to 40
  • 40 to 41
  • 41 and over
%, 2021. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Choctaw County: 41.7 %Choctaw County41.7Tallapoosa County: 41.4 %Tallapoosa County41.4Coosa County: 41.3 %Coosa County41.3Geneva County: 41.3 %Geneva County41.3Fayette County: 41.1 %Fayette County41.1Greene County: 41.1 %Greene County41.1Cherokee County: 40.9 %Cherokee County40.9Jackson County: 40.7 %Jackson County40.7Clay County: 40.6 %Clay County40.6Washington County: 40.6 %Washington County40.6Conecuh County: 40.5 %Conecuh County40.5Henry County: 40.5 %Henry County40.5Marion County: 40.5 %Marion County40.5Monroe County: 40.5 %Monroe County40.5Winston County: 40.5 %Winston County40.5Cleburne County: 40.1 %Cleburne County40.1Lamar County: 40.1 %Lamar County40.1Perry County: 40.1 %Perry County40.1Blount County: 40 %Blount County40DeKalb County: 40 %DeKalb County40Butler County: 39.8 %Butler County39.8Crenshaw County: 39.7 %Crenshaw County39.7Marengo County: 39.7 %Marengo County39.7Walker County: 39.7 %Walker County39.7Morgan County: 39.6 %Morgan County39.6Wilcox County: 39.6 %Wilcox County39.6Chambers County: 39.5 %Chambers County39.5Talladega County: 39.5 %Talladega County39.5Barbour County: 39.4 %Barbour County39.4Cullman County: 39.2 %Cullman County39.2Lawrence County: 39.2 %Lawrence County39.2Etowah County: 39.1 %Etowah County39.1Randolph County: 39.1 %Randolph County39.1Baldwin County: 38.9 %Baldwin County38.9Hale County: 38.9 %Hale County38.9Clarke County: 38.8 %Clarke County38.8Covington County: 38.8 %Covington County38.8Colbert County: 38.7 %Colbert County38.7Lauderdale County: 38.7 %Lauderdale County38.7Bibb County: 38.6 %Bibb County38.6Choctaw County: 41.7 %Choctaw County41.7Tallapoosa County: 41.4 %Tallapoosa County41.4Coosa County: 41.3 %Coosa County41.3Geneva County: 41.3 %Geneva County41.3Fayette County: 41.1 %Fayette County41.1Greene County: 41.1 %Greene County41.1Cherokee County: 40.9 %Cherokee County40.9Jackson County: 40.7 %Jackson County40.7Clay County: 40.6 %Clay County40.6Washington County: 40.6 %Washington County40.6Conecuh County: 40.5 %Conecuh County40.5Henry County: 40.5 %Henry County40.5Marion County: 40.5 %Marion County40.5Monroe County: 40.5 %Monroe County40.5Winston County: 40.5 %Winston County40.5Cleburne County: 40.1 %Cleburne County40.1Lamar County: 40.1 %Lamar County40.1Perry County: 40.1 %Perry County40.1Blount County: 40 %Blount County40DeKalb County: 40 %DeKalb County40Butler County: 39.8 %Butler County39.8Crenshaw County: 39.7 %Crenshaw County39.7Marengo County: 39.7 %Marengo County39.7Walker County: 39.7 %Walker County39.7Morgan County: 39.6 %Morgan County39.6Wilcox County: 39.6 %Wilcox County39.6Chambers County: 39.5 %Chambers County39.5Talladega County: 39.5 %Talladega County39.5Barbour County: 39.4 %Barbour County39.4Cullman County: 39.2 %Cullman County39.2Lawrence County: 39.2 %Lawrence County39.2Etowah County: 39.1 %Etowah County39.1Randolph County: 39.1 %Randolph County39.1Baldwin County: 38.9 %Baldwin County38.9Hale County: 38.9 %Hale County38.9Clarke County: 38.8 %Clarke County38.8Covington County: 38.8 %Covington County38.8Colbert County: 38.7 %Colbert County38.7Lauderdale County: 38.7 %Lauderdale County38.7Bibb County: 38.6 %Bibb County38.6
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh and later releases), high cholesterol in screened adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

Other periods

About this ranking

Percentage of adults who have ever had their cholesterol checked and were told by a doctor, nurse or other health professional that it was high. 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 cholesterol in screened 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 cholesterol in screened adults, crude prevalence (Counties in Alabama by high cholesterol in screened 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 cholesterol in screened adults, crude prevalence, Counties in Alabama by high cholesterol in screened 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-cholesterol-rate-county-estimate/alabama-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 cholesterol in screened adults, crude prevalence. Counties in Alabama by high cholesterol in screened 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-cholesterol-rate-county-estimate/alabama-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 cholesterol in screened adults, crude prevalence, Counties in Alabama by high cholesterol in screened adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/alabama-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_alabama_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 cholesterol in screened adults, crude prevalence: Counties in Alabama by high cholesterol in screened 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-cholesterol-rate-county-estimate/alabama-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 cholesterol in screened 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 cholesterol in screened adults, crude prevalence: Counties in Alabama by high cholesterol in screened 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-cholesterol-rate-county-estimate/alabama-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/alabama-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 cholesterol in screened 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 Alabama by high cholesterol in screened adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_high_cholesterol_rate_modelled","level":"province","within":"Alabama","limit":10}
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Questions

Which county has the highest high cholesterol in screened adults, local model estimate?

Choctaw County, with 41.7% in 2021, according to the Centers for Disease Control and Prevention.

Which county has the lowest high cholesterol in screened adults, local model estimate?

Lee County, with 32.4% 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 cholesterol in screened adults, crude prevalence. Retrieved 2026-10-12.

High cholesterol in screened adults, local model estimate: other rankings

Counties in Alabama: more rankings