US counties by high cholesterol in screened adults, local model estimate

Jeff Davis County had the highest high cholesterol in screened adults, local model estimate of 3077 counties in 2021, at 46.9%. Madison County had the lowest, at 21.8%. The median was 36.9%. Source: the Centers for Disease Control and Prevention.

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Lowest21.8Madison County
Median36.93077 counties

Map of counties, 2021

%, 2021. Hatched areas have no value for this period. 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

Jeff Davis County: 46.9 %Jeff Davis County46.9Lancaster County: 46 %Lancaster County46Highland County: 45.9 %Highland County45.9Cumberland County: 45.6 %Cumberland County45.6Middlesex County: 45.6 %Middlesex County45.6Benton County: 45.4 %Benton County45.4Pendleton County: 45.4 %Pendleton County45.4McDowell County: 45.1 %McDowell County45.1Piscataquis County: 45.1 %Piscataquis County45.1Calhoun County: 44.9 %Calhoun County44.9Fulton County: 44.9 %Fulton County44.9Northumberland County: 44.9 %Northumberland County44.9Sabine County: 44.9 %Sabine County44.9Towns County: 44.9 %Towns County44.9Patrick County: 44.8 %Patrick County44.8Edwards County: 44.7 %Edwards County44.7Real County: 44.7 %Real County44.7Terrell County: 44.7 %Terrell County44.7Clay County: 44.4 %Clay County44.4Menard County: 44.4 %Menard County44.4Bath County: 44.3 %Bath County44.3Catron County: 44.3 %Catron County44.3Quitman County: 44.3 %Quitman County44.3Elk County: 44.1 %Elk County44.1Lee County: 44.1 %Lee County44.1Mingo County: 44.1 %Mingo County44.1Webster County: 44.1 %Webster County44.1Stone County: 44 %Stone County44Halifax County: 43.9 %Halifax County43.9Ontonagon County: 43.9 %Ontonagon County43.9Union County: 43.9 %Union County43.9Wyoming County: 43.9 %Wyoming County43.9Ozark County: 43.8 %Ozark County43.8Pickett County: 43.8 %Pickett County43.8Monroe County: 43.7 %Monroe County43.7Montmorency County: 43.7 %Montmorency County43.7Alcona County: 43.6 %Alcona County43.6Baxter County: 43.6 %Baxter County43.6Hickory County: 43.6 %Hickory County43.6Boone County: 43.5 %Boone County43.5Jeff Davis County: 46.9 %Jeff Davis County46.9Lancaster County: 46 %Lancaster County46Highland County: 45.9 %Highland County45.9Cumberland County: 45.6 %Cumberland County45.6Middlesex County: 45.6 %Middlesex County45.6Benton County: 45.4 %Benton County45.4Pendleton County: 45.4 %Pendleton County45.4McDowell County: 45.1 %McDowell County45.1Piscataquis County: 45.1 %Piscataquis County45.1Calhoun County: 44.9 %Calhoun County44.9Fulton County: 44.9 %Fulton County44.9Northumberland County: 44.9 %Northumberland County44.9Sabine County: 44.9 %Sabine County44.9Towns County: 44.9 %Towns County44.9Patrick County: 44.8 %Patrick County44.8Edwards County: 44.7 %Edwards County44.7Real County: 44.7 %Real County44.7Terrell County: 44.7 %Terrell County44.7Clay County: 44.4 %Clay County44.4Menard County: 44.4 %Menard County44.4Bath County: 44.3 %Bath County44.3Catron County: 44.3 %Catron County44.3Quitman County: 44.3 %Quitman County44.3Elk County: 44.1 %Elk County44.1Lee County: 44.1 %Lee County44.1Mingo County: 44.1 %Mingo County44.1Webster County: 44.1 %Webster County44.1Stone County: 44 %Stone County44Halifax County: 43.9 %Halifax County43.9Ontonagon County: 43.9 %Ontonagon County43.9Union County: 43.9 %Union County43.9Wyoming County: 43.9 %Wyoming County43.9Ozark County: 43.8 %Ozark County43.8Pickett County: 43.8 %Pickett County43.8Monroe County: 43.7 %Monroe County43.7Montmorency County: 43.7 %Montmorency County43.7Alcona County: 43.6 %Alcona County43.6Baxter County: 43.6 %Baxter County43.6Hickory County: 43.6 %Hickory County43.6Boone County: 43.5 %Boone County43.5
%. 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

RankCounties2021 (%)
1Jeff Davis County46.9
2Lancaster County46
3Highland County45.9
4Cumberland County45.6
4Middlesex County45.6
6Benton County45.4
6Pendleton County45.4
8McDowell County45.1
8Piscataquis County45.1
10Calhoun County44.9
10Fulton County44.9
10Northumberland County44.9
10Sabine County44.9
10Towns County44.9
15Patrick County44.8
16Edwards County44.7
16Real County44.7
16Terrell County44.7
19Clay County44.4
19Menard County44.4
21Bath County44.3
21Catron County44.3
21Quitman County44.3
24Elk County44.1
24Lee County44.1
24Mingo County44.1
24Webster County44.1
28Stone County44
29Halifax County43.9
29Ontonagon County43.9
29Union County43.9
29Wyoming County43.9
33Ozark County43.8
33Pickett County43.8
35Monroe County43.7
35Montmorency County43.7
37Alcona County43.6
37Baxter County43.6
37Hickory County43.6
40Boone County43.5
40Buchanan County43.5
40Dickenson County43.5
40Roscommon County43.5
44Kimble County43.4
44Marion County43.4
44Presidio County43.4
44Roane County43.4
44Tensas Parish43.4
44Washington County43.4
50Benton County43.3
50Fannin County43.3
50Gilmer County43.3
50Henry County43.3
50Pocahontas County43.3
50Van Buren County43.3
50Van Buren County43.3
57Clay County43.2
57Clay County43.2
57Foard County43.2
57Hardin County43.2
57Jackson County43.2
57Lincoln County43.2
57Llano County43.2
64Graham County43.1
64Harding County43.1
64Logan County43.1
67Braxton County43
67Greene County43
67McIntosh County43
67Montgomery County43
67Presque Isle County43
67Randolph County43
67San Augustine County43
67Wirt County43
75Jewell County42.9
75Mason County42.9
75McIntosh County42.9
75Polk County42.9
75Tyler County42.9
80Adams County42.8
80Essex County42.8
80Hancock County42.8
80Marion County42.8
80Monroe County42.8
80Northampton County42.8
80Oconee County42.8
80Reynolds County42.8
80Talbot County42.8
80Taliaferro County42.8
90Decatur County42.7
90Dickens County42.7
90Kanawha County42.7
90Nelson County42.7
90Searcy County42.7
90Wahkiakum County42.7
96Alleghany County42.6
96Baker County42.6
96Bandera County42.6
96Briscoe County42.6
96Cherokee County42.6
96Cottle County42.6
96Fentress County42.6
96Henry County42.6
96Letcher County42.6
96Oscoda County42.6
96Putnam County42.6
96Rabun County42.6
96Raleigh County42.6
96Summers County42.6
96Wayne County42.6
111Mathews County42.5
111Ritchie County42.5
111Rush County42.5
111Sequatchie County42.5
111Sierra County42.5
111Smyth County42.5
111Washington County42.5
118Alleghany County42.4
118Aransas County42.4
118Clay County42.4
118Grant County42.4
118Motley County42.4
118Pamlico County42.4
118Sharp County42.4
118Trinity County42.4
118Tucker County42.4
127Esmeralda County42.3
127McCormick County42.3
127Newton County42.3
127Pike County42.3
127Somerset County42.3
127Stone County42.3
133Charles City County42.2
133Chautauqua County42.2
133Cleburne County42.2
133Kerr County42.2
133King County42.2
133Scott County42.2
133Smith County42.2
133Throckmorton County42.2
141Iron County42.1
141Lafayette County42.1
141Lincoln County42.1
141Loudon County42.1
141Marion County42.1
141Monroe County42.1
147Coleman County42
147Hamilton County42
147Harrison County42
147Iosco County42
147Jackson County42
147Leon County42
147Red River County42
154Fayette County41.9
154Mecklenburg County41.9
154Noble County41.9
154Owsley County41.9
154Robertson County41.9
154Seminole County41.9
154Storey County41.9
154Surry County41.9
154Taylor County41.9
154Unicoi County41.9
164Barnstable County41.8
164Coke County41.8
164Concho County41.8
164Crawford County41.8
164Culberson County41.8
164Franklin County41.8
164Iron County41.8
164Johnson County41.8
164Magoffin County41.8
164Russell County41.8
164Webster County41.8
164Wood County41.8
164Woodson County41.8
177Choctaw County41.7
177Cocke County41.7
177Craig County41.7
177Fayette County41.7
177Hickman County41.7
177Knox County41.7
177Lewis County41.7
177Ness County41.7
177Osborne County41.7
177Rains County41.7
177Taylor County41.7
177Wolfe County41.7
189Botetourt County41.6
189Campbell County41.6
189Dent County41.6
189Jasper County41.6
189McMullen County41.6
189Republic County41.6
189Stonewall County41.6
189Wayne County41.6
197Ashe County41.5
197Bland County41.5
197Douglas County41.5
197Florence County41.5
197Izard County41.5
197Kenedy County41.5
197Morgan County41.5
197Washington County41.5
197Wythe County41.5
206Amite County41.4
206Aroostook County41.4
206Charlotte County41.4
206Delaware County41.4
206Ellis County41.4
206Grayson County41.4
206Mason County41.4
206Mills County41.4
206Newton County41.4
206Ogemaw County41.4
206Rappahannock County41.4
206Rawlins County41.4
206Ripley County41.4
206Roane County41.4
206Sussex County41.4
206Tallapoosa County41.4
206Westmoreland County41.4
206Wilkes County41.4
224Accomack County41.3
224Blanco County41.3
224Carter County41.3
224Cedar County41.3
224Colleton County41.3
224Coosa County41.3
224Geneva County41.3
224Greenwood County41.3
224Hawkins County41.3
224Keweenaw County41.3
224Macon County41.3
224Mercer County41.3
224Morgan County41.3
224Morton County41.3
224Pittsylvania County41.3
224Trigg County41.3
224Woodruff County41.3
241Cass County41.2
241Clay County41.2
241Crittenden County41.2
241Floyd County41.2
241Green County41.2
241Tazewell County41.2
241Twiggs County41.2
241Vilas County41.2
241Warren County41.2
241Waushara County41.2

Showing the top 250 of 3077. The Excel download has every row.

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. 67 counties with data in other periods have no value for 2021 and are left out rather than filled from another source. 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 (US counties 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, US counties 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/us-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. US counties 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/us-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, US counties 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/us-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_us_counties_by_high_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: US counties 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/us-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: US counties 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/us-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/us-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 US counties 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?

Jeff Davis County, with 46.9% in 2021, according to the Centers for Disease Control and Prevention.

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

Madison County, with 21.8% 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. 67 counties have no value for 2021 and are not ranked.

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

US counties: more rankings