Counties in Missouri by high cholesterol in screened adults, local model estimate, 2023

Hickory County had the highest high cholesterol in screened adults, local model estimate of 115 counties in 2023, at 46.5%. Pulaski County had the lowest, at 29.8%. The median was 39.7%. Source: the Centers for Disease Control and Prevention.

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Highest46.5Hickory County
Lowest29.8Pulaski County
Median39.7115 counties

Map of counties, 2023

Adair County: 33 %Andrew County: 39.3 %Atchison County: 41.1 %Audrain County: 37.4 %Barry County: 40.9 %Barton County: 40.6 %Bates County: 40 %Benton County: 44.7 %Bollinger County: 40.4 %Boone County: 33.1 %Buchanan County: 39.2 %Butler County: 41 %Caldwell County: 40 %Callaway County: 37.8 %Camden County: 44.1 %Cape Girardeau County: 36 %Carroll County: 39.6 %Carter County: 41 %Cass County: 37.6 %Cedar County: 41.9 %Chariton County: 40.9 %Christian County: 36.4 %Clark County: 41.1 %Clay County: 36.6 %Clinton County: 38.8 %Cole County: 36.8 %Cooper County: 38.3 %Crawford County: 40.2 %Dade County: 42.2 %Dallas County: 39.8 %Daviess County: 42.2 %DeKalb County: 38.8 %Dent County: 40.1 %Douglas County: 41.7 %Dunklin County: 40.3 %Franklin County: 39.5 %Gasconade County: 41.2 %Gentry County: 39 %Greene County: 35.3 %Grundy County: 40.5 %Harrison County: 41.5 %Henry County: 40.5 %Hickory County: 46.5 %Holt County: 41.4 %Howard County: 38.5 %Howell County: 39.3 %Iron County: 41.2 %Jackson County: 38.9 %Jasper County: 37.1 %Jefferson County: 36.7 %Johnson County: 33.3 %Knox County: 41.1 %Laclede County: 40.2 %Lafayette County: 40.3 %Lawrence County: 39.3 %Lewis County: 37.1 %Lincoln County: 36.5 %Linn County: 40.3 %Livingston County: 38.4 %McDonald County: 39.6 %Macon County: 39.7 %Madison County: 38.8 %Maries County: 40.1 %Marion County: 37.3 %Mercer County: 41.7 %Miller County: 39.9 %Mississippi County: 39.2 %Moniteau County: 37.8 %Monroe County: 41.3 %Montgomery County: 40.5 %Morgan County: 41.5 %New Madrid County: 40.4 %Newton County: 39 %Nodaway County: 35 %Oregon County: 41.8 %Osage County: 38.4 %Ozark County: 44 %Pemiscot County: 41.5 %Perry County: 39 %Pettis County: 37 %Phelps County: 36 %Pike County: 39 %Platte County: 36.9 %Polk County: 38.8 %Pulaski County: 29.8 %Putnam County: 41.1 %Ralls County: 41.1 %Randolph County: 37.6 %Ray County: 39.8 %Reynolds County: 42.1 %Ripley County: 41 %St. Charles County: 36.9 %St. Clair County: 42.2 %Ste. Genevieve County: 39.8 %St. Francois County: 37.9 %St. Louis County: 36.5 %Saline County: 37.3 %Schuyler County: 38.9 %Scotland County: 39.2 %Scott County: 39.2 %Shannon County: 41 %Shelby County: 40.8 %Stoddard County: 38.9 %Stone County: 44.8 %Sullivan County: 40.6 %Taney County: 39.4 %Texas County: 40.7 %Vernon County: 40.7 %Warren County: 38.7 %Washington County: 39.5 %Wayne County: 42.6 %Webster County: 37.5 %Worth County: 42.2 %Wright County: 40.5 %St. Louis city: 33.7 %
  • Under 37
  • 37 to 39
  • 39 to 40
  • 40 to 41
  • 41 and over
%, 2023. 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, 2023

Hickory County: 46.5 %Hickory County46.5Stone County: 44.8 %Stone County44.8Benton County: 44.7 %Benton County44.7Camden County: 44.1 %Camden County44.1Ozark County: 44 %Ozark County44Wayne County: 42.6 %Wayne County42.6Dade County: 42.2 %Dade County42.2Daviess County: 42.2 %Daviess County42.2St. Clair County: 42.2 %St. Clair County42.2Worth County: 42.2 %Worth County42.2Reynolds County: 42.1 %Reynolds County42.1Cedar County: 41.9 %Cedar County41.9Oregon County: 41.8 %Oregon County41.8Douglas County: 41.7 %Douglas County41.7Mercer County: 41.7 %Mercer County41.7Harrison County: 41.5 %Harrison County41.5Morgan County: 41.5 %Morgan County41.5Pemiscot County: 41.5 %Pemiscot County41.5Holt County: 41.4 %Holt County41.4Monroe County: 41.3 %Monroe County41.3Gasconade County: 41.2 %Gasconade County41.2Iron County: 41.2 %Iron County41.2Atchison County: 41.1 %Atchison County41.1Clark County: 41.1 %Clark County41.1Knox County: 41.1 %Knox County41.1Putnam County: 41.1 %Putnam County41.1Ralls County: 41.1 %Ralls County41.1Butler County: 41 %Butler County41Carter County: 41 %Carter County41Ripley County: 41 %Ripley County41Shannon County: 41 %Shannon County41Barry County: 40.9 %Barry County40.9Chariton County: 40.9 %Chariton County40.9Shelby County: 40.8 %Shelby County40.8Texas County: 40.7 %Texas County40.7Vernon County: 40.7 %Vernon County40.7Barton County: 40.6 %Barton County40.6Sullivan County: 40.6 %Sullivan County40.6Grundy County: 40.5 %Grundy County40.5Henry County: 40.5 %Henry County40.5Hickory County: 46.5 %Hickory County46.5Stone County: 44.8 %Stone County44.8Benton County: 44.7 %Benton County44.7Camden County: 44.1 %Camden County44.1Ozark County: 44 %Ozark County44Wayne County: 42.6 %Wayne County42.6Dade County: 42.2 %Dade County42.2Daviess County: 42.2 %Daviess County42.2St. Clair County: 42.2 %St. Clair County42.2Worth County: 42.2 %Worth County42.2Reynolds County: 42.1 %Reynolds County42.1Cedar County: 41.9 %Cedar County41.9Oregon County: 41.8 %Oregon County41.8Douglas County: 41.7 %Douglas County41.7Mercer County: 41.7 %Mercer County41.7Harrison County: 41.5 %Harrison County41.5Morgan County: 41.5 %Morgan County41.5Pemiscot County: 41.5 %Pemiscot County41.5Holt County: 41.4 %Holt County41.4Monroe County: 41.3 %Monroe County41.3Gasconade County: 41.2 %Gasconade County41.2Iron County: 41.2 %Iron County41.2Atchison County: 41.1 %Atchison County41.1Clark County: 41.1 %Clark County41.1Knox County: 41.1 %Knox County41.1Putnam County: 41.1 %Putnam County41.1Ralls County: 41.1 %Ralls County41.1Butler County: 41 %Butler County41Carter County: 41 %Carter County41Ripley County: 41 %Ripley County41Shannon County: 41 %Shannon County41Barry County: 40.9 %Barry County40.9Chariton County: 40.9 %Chariton County40.9Shelby County: 40.8 %Shelby County40.8Texas County: 40.7 %Texas County40.7Vernon County: 40.7 %Vernon County40.7Barton County: 40.6 %Barton County40.6Sullivan County: 40.6 %Sullivan County40.6Grundy County: 40.5 %Grundy County40.5Henry County: 40.5 %Henry County40.5
%. 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

RankCounties2023 (%)
1Hickory County46.5
2Stone County44.8
3Benton County44.7
4Camden County44.1
5Ozark County44
6Wayne County42.6
7Dade County42.2
7Daviess County42.2
7St. Clair County42.2
7Worth County42.2
11Reynolds County42.1
12Cedar County41.9
13Oregon County41.8
14Douglas County41.7
14Mercer County41.7
16Harrison County41.5
16Morgan County41.5
16Pemiscot County41.5
19Holt County41.4
20Monroe County41.3
21Gasconade County41.2
21Iron County41.2
23Atchison County41.1
23Clark County41.1
23Knox County41.1
23Putnam County41.1
23Ralls County41.1
28Butler County41
28Carter County41
28Ripley County41
28Shannon County41
32Barry County40.9
32Chariton County40.9
34Shelby County40.8
35Texas County40.7
35Vernon County40.7
37Barton County40.6
37Sullivan County40.6
39Grundy County40.5
39Henry County40.5
39Montgomery County40.5
39Wright County40.5
43Bollinger County40.4
43New Madrid County40.4
45Dunklin County40.3
45Lafayette County40.3
45Linn County40.3
48Crawford County40.2
48Laclede County40.2
50Dent County40.1
50Maries County40.1
52Bates County40
52Caldwell County40
54Miller County39.9
55Dallas County39.8
55Ray County39.8
55Ste. Genevieve County39.8
58Macon County39.7
59Carroll County39.6
59McDonald County39.6
61Franklin County39.5
61Washington County39.5
63Taney County39.4
64Andrew County39.3
64Howell County39.3
64Lawrence County39.3
67Buchanan County39.2
67Mississippi County39.2
67Scotland County39.2
67Scott County39.2
71Gentry County39
71Newton County39
71Perry County39
71Pike County39
75Jackson County38.9
75Schuyler County38.9
75Stoddard County38.9
78Clinton County38.8
78DeKalb County38.8
78Madison County38.8
78Polk County38.8
82Warren County38.7
83Howard County38.5
84Livingston County38.4
84Osage County38.4
86Cooper County38.3
87St. Francois County37.9
88Callaway County37.8
88Moniteau County37.8
90Cass County37.6
90Randolph County37.6
92Webster County37.5
93Audrain County37.4
94Marion County37.3
94Saline County37.3
96Jasper County37.1
96Lewis County37.1
98Pettis County37
99Platte County36.9
99St. Charles County36.9
101Cole County36.8
102Jefferson County36.7
103Clay County36.6
104Lincoln County36.5
104St. Louis County36.5
106Christian County36.4
107Cape Girardeau County36
107Phelps County36
109Greene County35.3
110Nodaway County35
111St. Louis city33.7
112Johnson County33.3
113Boone County33.1
114Adair County33
115Pulaski County29.8

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 Missouri by high cholesterol in screened adults, local model estimate, 2023) [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 Missouri by high cholesterol in screened adults, local model estimate, 2023. 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/missouri-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 Missouri by high cholesterol in screened adults, local model estimate, 2023. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/missouri-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 Missouri by high cholesterol in screened adults, local model estimate, 2023 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/missouri-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_by_2023,
  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 Missouri by high cholesterol in screened adults, local model estimate, 2023}},
  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/missouri-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 Missouri by high cholesterol in screened adults, local model estimate, 2023
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/missouri-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/missouri-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 Missouri 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?

Hickory County, with 46.5% in 2023, according to the Centers for Disease Control and Prevention.

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

Pulaski County, with 29.8% in 2023.

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 Missouri: more rankings