Counties in Kentucky by high cholesterol in screened adults, local model estimate, 2021

Letcher County had the highest high cholesterol in screened adults, local model estimate of 120 counties in 2021, at 42.6%. Fayette County had the lowest, at 31.1%. The median was 38.7%. Source: the Centers for Disease Control and Prevention.

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Highest42.6Letcher County
Lowest31.1Fayette County
Median38.7120 counties

Map of counties, 2021

Adair County: 38.8 %Allen County: 37.8 %Anderson County: 35.2 %Ballard County: 39.6 %Barren County: 39.8 %Bath County: 38.2 %Bell County: 41.1 %Boone County: 34.1 %Bourbon County: 37.5 %Boyd County: 38.3 %Boyle County: 36.3 %Bracken County: 37.5 %Breathitt County: 40.8 %Breckinridge County: 40.1 %Bullitt County: 36.9 %Butler County: 37.8 %Caldwell County: 38.8 %Calloway County: 36.3 %Campbell County: 34.4 %Carlisle County: 39.8 %Carroll County: 39.2 %Carter County: 39.6 %Casey County: 39.9 %Christian County: 32.8 %Clark County: 37.5 %Clay County: 39.7 %Clinton County: 38.7 %Crittenden County: 41.2 %Cumberland County: 41.1 %Daviess County: 37.9 %Edmonson County: 38.9 %Elliott County: 40.6 %Estill County: 40.2 %Fayette County: 31.1 %Fleming County: 37.7 %Floyd County: 41.2 %Franklin County: 34.7 %Fulton County: 38.9 %Gallatin County: 36.5 %Garrard County: 38.6 %Grant County: 35.8 %Graves County: 39.2 %Grayson County: 40.9 %Green County: 41.2 %Greenup County: 38 %Hancock County: 37.4 %Hardin County: 35.3 %Harlan County: 40.3 %Harrison County: 38 %Hart County: 39.8 %Henderson County: 37.7 %Henry County: 38.4 %Hickman County: 41.7 %Hopkins County: 38.7 %Jackson County: 41 %Jefferson County: 36.8 %Jessamine County: 35.6 %Johnson County: 39.8 %Kenton County: 36.6 %Knott County: 40.8 %Knox County: 40.6 %Larue County: 37.4 %Laurel County: 40.4 %Lawrence County: 39.8 %Lee County: 40.1 %Leslie County: 41.1 %Letcher County: 42.6 %Lewis County: 41.1 %Lincoln County: 38.7 %Livingston County: 40.8 %Logan County: 38.5 %Lyon County: 39.4 %McCracken County: 38.4 %McCreary County: 40.1 %McLean County: 38.2 %Madison County: 34 %Magoffin County: 41.8 %Marion County: 37.7 %Marshall County: 39.2 %Martin County: 37.4 %Mason County: 38.4 %Meade County: 35.7 %Menifee County: 40.7 %Mercer County: 38.2 %Metcalfe County: 39.2 %Monroe County: 39.2 %Montgomery County: 37.8 %Morgan County: 36.4 %Muhlenberg County: 38.2 %Nelson County: 35.7 %Nicholas County: 38.8 %Ohio County: 37.6 %Oldham County: 33.8 %Owen County: 39.1 %Owsley County: 41.9 %Pendleton County: 38 %Perry County: 39.2 %Pike County: 42.3 %Powell County: 37 %Pulaski County: 40.9 %Robertson County: 41.9 %Rockcastle County: 39.5 %Rowan County: 33.6 %Russell County: 40.2 %Scott County: 35.1 %Shelby County: 34.8 %Simpson County: 36.7 %Spencer County: 37.2 %Taylor County: 36.9 %Todd County: 37.9 %Trigg County: 41.3 %Trimble County: 38.8 %Union County: 38.4 %Warren County: 33.6 %Washington County: 38.9 %Wayne County: 40.5 %Webster County: 38.4 %Whitley County: 36.6 %Wolfe County: 41.7 %Woodford County: 37.3 %
  • Under 36
  • 36 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

Letcher County: 42.6 %Letcher County42.6Pike County: 42.3 %Pike County42.3Owsley County: 41.9 %Owsley County41.9Robertson County: 41.9 %Robertson County41.9Magoffin County: 41.8 %Magoffin County41.8Hickman County: 41.7 %Hickman County41.7Wolfe County: 41.7 %Wolfe County41.7Trigg County: 41.3 %Trigg County41.3Crittenden County: 41.2 %Crittenden County41.2Floyd County: 41.2 %Floyd County41.2Green County: 41.2 %Green County41.2Bell County: 41.1 %Bell County41.1Cumberland County: 41.1 %Cumberland County41.1Leslie County: 41.1 %Leslie County41.1Lewis County: 41.1 %Lewis County41.1Jackson County: 41 %Jackson County41Grayson County: 40.9 %Grayson County40.9Pulaski County: 40.9 %Pulaski County40.9Breathitt County: 40.8 %Breathitt County40.8Knott County: 40.8 %Knott County40.8Livingston County: 40.8 %Livingston County40.8Menifee County: 40.7 %Menifee County40.7Elliott County: 40.6 %Elliott County40.6Knox County: 40.6 %Knox County40.6Wayne County: 40.5 %Wayne County40.5Laurel County: 40.4 %Laurel County40.4Harlan County: 40.3 %Harlan County40.3Estill County: 40.2 %Estill County40.2Russell County: 40.2 %Russell County40.2Breckinridge County: 40.1 %Breckinridge County40.1Lee County: 40.1 %Lee County40.1McCreary County: 40.1 %McCreary County40.1Casey County: 39.9 %Casey County39.9Barren County: 39.8 %Barren County39.8Carlisle County: 39.8 %Carlisle County39.8Hart County: 39.8 %Hart County39.8Johnson County: 39.8 %Johnson County39.8Lawrence County: 39.8 %Lawrence County39.8Clay County: 39.7 %Clay County39.7Ballard County: 39.6 %Ballard County39.6Letcher County: 42.6 %Letcher County42.6Pike County: 42.3 %Pike County42.3Owsley County: 41.9 %Owsley County41.9Robertson County: 41.9 %Robertson County41.9Magoffin County: 41.8 %Magoffin County41.8Hickman County: 41.7 %Hickman County41.7Wolfe County: 41.7 %Wolfe County41.7Trigg County: 41.3 %Trigg County41.3Crittenden County: 41.2 %Crittenden County41.2Floyd County: 41.2 %Floyd County41.2Green County: 41.2 %Green County41.2Bell County: 41.1 %Bell County41.1Cumberland County: 41.1 %Cumberland County41.1Leslie County: 41.1 %Leslie County41.1Lewis County: 41.1 %Lewis County41.1Jackson County: 41 %Jackson County41Grayson County: 40.9 %Grayson County40.9Pulaski County: 40.9 %Pulaski County40.9Breathitt County: 40.8 %Breathitt County40.8Knott County: 40.8 %Knott County40.8Livingston County: 40.8 %Livingston County40.8Menifee County: 40.7 %Menifee County40.7Elliott County: 40.6 %Elliott County40.6Knox County: 40.6 %Knox County40.6Wayne County: 40.5 %Wayne County40.5Laurel County: 40.4 %Laurel County40.4Harlan County: 40.3 %Harlan County40.3Estill County: 40.2 %Estill County40.2Russell County: 40.2 %Russell County40.2Breckinridge County: 40.1 %Breckinridge County40.1Lee County: 40.1 %Lee County40.1McCreary County: 40.1 %McCreary County40.1Casey County: 39.9 %Casey County39.9Barren County: 39.8 %Barren County39.8Carlisle County: 39.8 %Carlisle County39.8Hart County: 39.8 %Hart County39.8Johnson County: 39.8 %Johnson County39.8Lawrence County: 39.8 %Lawrence County39.8Clay County: 39.7 %Clay County39.7Ballard County: 39.6 %Ballard County39.6
%. 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

RankCounties2021 (%)
1Letcher County42.6
2Pike County42.3
3Owsley County41.9
3Robertson County41.9
5Magoffin County41.8
6Hickman County41.7
6Wolfe County41.7
8Trigg County41.3
9Crittenden County41.2
9Floyd County41.2
9Green County41.2
12Bell County41.1
12Cumberland County41.1
12Leslie County41.1
12Lewis County41.1
16Jackson County41
17Grayson County40.9
17Pulaski County40.9
19Breathitt County40.8
19Knott County40.8
19Livingston County40.8
22Menifee County40.7
23Elliott County40.6
23Knox County40.6
25Wayne County40.5
26Laurel County40.4
27Harlan County40.3
28Estill County40.2
28Russell County40.2
30Breckinridge County40.1
30Lee County40.1
30McCreary County40.1
33Casey County39.9
34Barren County39.8
34Carlisle County39.8
34Hart County39.8
34Johnson County39.8
34Lawrence County39.8
39Clay County39.7
40Ballard County39.6
40Carter County39.6
42Rockcastle County39.5
43Lyon County39.4
44Carroll County39.2
44Graves County39.2
44Marshall County39.2
44Metcalfe County39.2
44Monroe County39.2
44Perry County39.2
50Owen County39.1
51Edmonson County38.9
51Fulton County38.9
51Washington County38.9
54Adair County38.8
54Caldwell County38.8
54Nicholas County38.8
54Trimble County38.8
58Clinton County38.7
58Hopkins County38.7
58Lincoln County38.7
61Garrard County38.6
62Logan County38.5
63Henry County38.4
63Mason County38.4
63McCracken County38.4
63Union County38.4
63Webster County38.4
68Boyd County38.3
69Bath County38.2
69McLean County38.2
69Mercer County38.2
69Muhlenberg County38.2
73Greenup County38
73Harrison County38
73Pendleton County38
76Daviess County37.9
76Todd County37.9
78Allen County37.8
78Butler County37.8
78Montgomery County37.8
81Fleming County37.7
81Henderson County37.7
81Marion County37.7
84Ohio County37.6
85Bourbon County37.5
85Bracken County37.5
85Clark County37.5
88Hancock County37.4
88Larue County37.4
88Martin County37.4
91Woodford County37.3
92Spencer County37.2
93Powell County37
94Bullitt County36.9
94Taylor County36.9
96Jefferson County36.8
97Simpson County36.7
98Kenton County36.6
98Whitley County36.6
100Gallatin County36.5
101Morgan County36.4
102Boyle County36.3
102Calloway County36.3
104Grant County35.8
105Meade County35.7
105Nelson County35.7
107Jessamine County35.6
108Hardin County35.3
109Anderson County35.2
110Scott County35.1
111Shelby County34.8
112Franklin County34.7
113Campbell County34.4
114Boone County34.1
115Madison County34
116Oldham County33.8
117Rowan County33.6
117Warren County33.6
119Christian County32.8
120Fayette County31.1

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 Kentucky 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 Kentucky 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/kentucky-counties. 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 Kentucky 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/kentucky-counties.

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 Kentucky 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/kentucky-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_kentucky_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 Kentucky 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/kentucky-counties. 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 Kentucky 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/kentucky-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/kentucky-counties.
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 Kentucky by high cholesterol in screened adults, local model estimate using official data, and cite the source.
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Questions

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

Letcher County, with 42.6% in 2021, according to the Centers for Disease Control and Prevention.

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

Fayette County, with 31.1% 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 Kentucky: more rankings