Data / Rankings / High cholesterol in screened adults, local model estimate / Counties in Virginia

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

Lancaster County had the highest high cholesterol in screened adults, local model estimate of 133 counties in 2023, at 46.7%. Lexington city had the lowest, at 29.6%. The median was 40.1%. Source: the Centers for Disease Control and Prevention.

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Highest46.7Lancaster County
Lowest29.6Lexington city
Median40.1133 counties

Map of counties, 2023

Accomack County: 44.4 %Albemarle County: 37.3 %Alleghany County: 42.6 %Amelia County: 42.5 %Amherst County: 39.7 %Appomattox County: 41.9 %Arlington County: 33.9 %Augusta County: 40.3 %Bath County: 45.6 %Bedford County: 41.4 %Bland County: 41.5 %Botetourt County: 41.3 %Brunswick County: 40.7 %Buchanan County: 43.6 %Buckingham County: 41.3 %Campbell County: 40.7 %Caroline County: 39 %Carroll County: 44.7 %Charles City County: 42.7 %Charlotte County: 42.9 %Chesterfield County: 39.1 %Clarke County: 41.6 %Craig County: 42.6 %Culpeper County: 39.4 %Cumberland County: 40.8 %Dickenson County: 43 %Dinwiddie County: 39.3 %Essex County: 42.8 %Fairfax County: 37.8 %Fauquier County: 39.3 %Floyd County: 42 %Fluvanna County: 39.3 %Franklin County: 43.8 %Frederick County: 38.4 %Giles County: 41.6 %Gloucester County: 39.8 %Goochland County: 40.5 %Grayson County: 44.2 %Greene County: 39.3 %Greensville County: 37.8 %Halifax County: 43.5 %Hanover County: 40.1 %Henrico County: 35.4 %Henry County: 42.5 %Highland County: 46.1 %Isle of Wight County: 39 %James City County: 42.1 %King and Queen County: 42.4 %King George County: 37.5 %King William County: 37.9 %Lancaster County: 46.7 %Lee County: 43.2 %Loudoun County: 36.3 %Louisa County: 41.4 %Lunenburg County: 42 %Madison County: 41.6 %Mathews County: 44.6 %Mecklenburg County: 43.3 %Middlesex County: 44.9 %Montgomery County: 33.9 %Nelson County: 43.8 %New Kent County: 38.1 %Northampton County: 45 %Northumberland County: 45.1 %Nottoway County: 40.2 %Orange County: 40.1 %Page County: 42.7 %Patrick County: 43.4 %Pittsylvania County: 43.9 %Powhatan County: 40.7 %Prince Edward County: 35.7 %Prince George County: 32.8 %Prince William County: 36.3 %Pulaski County: 42.6 %Rappahannock County: 43.8 %Richmond County: 39.7 %Roanoke County: 39 %Rockbridge County: 43.2 %Rockingham County: 39.9 %Russell County: 43.5 %Scott County: 44.1 %Shenandoah County: 40.2 %Smyth County: 41.7 %Southampton County: 41.1 %Spotsylvania County: 37.4 %Stafford County: 35.7 %Surry County: 42.5 %Sussex County: 37.7 %Tazewell County: 42.5 %Warren County: 38.2 %Washington County: 42.1 %Westmoreland County: 43.8 %Wise County: 40.4 %Wythe County: 42 %York County: 38.3 %Alexandria city: 35.5 %Bristol city: 41.2 %Buena Vista city: 38.1 %Charlottesville city: 34 %Chesapeake city: 35.1 %Colonial Heights city: 38.4 %Covington city: 41.5 %Danville city: 40.6 %Emporia city: 39.6 %Fairfax city: 36.9 %Falls Church city: 36.5 %Franklin city: 39.1 %Fredericksburg city: 32.7 %Galax city: 40.1 %Hampton city: 36.7 %Harrisonburg city: 31 %Hopewell city: 38.9 %Lexington city: 29.6 %Lynchburg city: 32.8 %Manassas city: 36.1 %Manassas Park city: 36.2 %Martinsville city: 39.5 %Newport News city: 36.3 %Norfolk city: 34.6 %Norton city: 39.7 %Petersburg city: 37 %Poquoson city: 39.1 %Portsmouth city: 37.5 %Radford city: 30.3 %Richmond city: 34.5 %Roanoke city: 37 %Salem city: 38.7 %Staunton city: 39 %Suffolk city: 39.2 %Virginia Beach city: 39.5 %Waynesboro city: 38.5 %Williamsburg city: 32.2 %Winchester city: 38.7 %
  • Under 37
  • 37 to 39
  • 39 to 40
  • 40 to 42
  • 42 to 43
  • 43 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

Lancaster County: 46.7 %Lancaster County46.7Highland County: 46.1 %Highland County46.1Bath County: 45.6 %Bath County45.6Northumberland County: 45.1 %Northumberland County45.1Northampton County: 45 %Northampton County45Middlesex County: 44.9 %Middlesex County44.9Carroll County: 44.7 %Carroll County44.7Mathews County: 44.6 %Mathews County44.6Accomack County: 44.4 %Accomack County44.4Grayson County: 44.2 %Grayson County44.2Scott County: 44.1 %Scott County44.1Pittsylvania County: 43.9 %Pittsylvania County43.9Franklin County: 43.8 %Franklin County43.8Nelson County: 43.8 %Nelson County43.8Rappahannock County: 43.8 %Rappahannock County43.8Westmoreland County: 43.8 %Westmoreland County43.8Buchanan County: 43.6 %Buchanan County43.6Halifax County: 43.5 %Halifax County43.5Russell County: 43.5 %Russell County43.5Patrick County: 43.4 %Patrick County43.4Mecklenburg County: 43.3 %Mecklenburg County43.3Lee County: 43.2 %Lee County43.2Rockbridge County: 43.2 %Rockbridge County43.2Dickenson County: 43 %Dickenson County43Charlotte County: 42.9 %Charlotte County42.9Essex County: 42.8 %Essex County42.8Charles City County: 42.7 %Charles City County42.7Page County: 42.7 %Page County42.7Alleghany County: 42.6 %Alleghany County42.6Craig County: 42.6 %Craig County42.6Pulaski County: 42.6 %Pulaski County42.6Amelia County: 42.5 %Amelia County42.5Henry County: 42.5 %Henry County42.5Surry County: 42.5 %Surry County42.5Tazewell County: 42.5 %Tazewell County42.5King and Queen County: 42.4 %King and Queen County42.4James City County: 42.1 %James City County42.1Washington County: 42.1 %Washington County42.1Floyd County: 42 %Floyd County42Lunenburg County: 42 %Lunenburg County42Lancaster County: 46.7 %Lancaster County46.7Highland County: 46.1 %Highland County46.1Bath County: 45.6 %Bath County45.6Northumberland County: 45.1 %Northumberland County45.1Northampton County: 45 %Northampton County45Middlesex County: 44.9 %Middlesex County44.9Carroll County: 44.7 %Carroll County44.7Mathews County: 44.6 %Mathews County44.6Accomack County: 44.4 %Accomack County44.4Grayson County: 44.2 %Grayson County44.2Scott County: 44.1 %Scott County44.1Pittsylvania County: 43.9 %Pittsylvania County43.9Franklin County: 43.8 %Franklin County43.8Nelson County: 43.8 %Nelson County43.8Rappahannock County: 43.8 %Rappahannock County43.8Westmoreland County: 43.8 %Westmoreland County43.8Buchanan County: 43.6 %Buchanan County43.6Halifax County: 43.5 %Halifax County43.5Russell County: 43.5 %Russell County43.5Patrick County: 43.4 %Patrick County43.4Mecklenburg County: 43.3 %Mecklenburg County43.3Lee County: 43.2 %Lee County43.2Rockbridge County: 43.2 %Rockbridge County43.2Dickenson County: 43 %Dickenson County43Charlotte County: 42.9 %Charlotte County42.9Essex County: 42.8 %Essex County42.8Charles City County: 42.7 %Charles City County42.7Page County: 42.7 %Page County42.7Alleghany County: 42.6 %Alleghany County42.6Craig County: 42.6 %Craig County42.6Pulaski County: 42.6 %Pulaski County42.6Amelia County: 42.5 %Amelia County42.5Henry County: 42.5 %Henry County42.5Surry County: 42.5 %Surry County42.5Tazewell County: 42.5 %Tazewell County42.5King and Queen County: 42.4 %King and Queen County42.4James City County: 42.1 %James City County42.1Washington County: 42.1 %Washington County42.1Floyd County: 42 %Floyd County42Lunenburg County: 42 %Lunenburg County42
%. 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 (%)
1Lancaster County46.7
2Highland County46.1
3Bath County45.6
4Northumberland County45.1
5Northampton County45
6Middlesex County44.9
7Carroll County44.7
8Mathews County44.6
9Accomack County44.4
10Grayson County44.2
11Scott County44.1
12Pittsylvania County43.9
13Franklin County43.8
13Nelson County43.8
13Rappahannock County43.8
13Westmoreland County43.8
17Buchanan County43.6
18Halifax County43.5
18Russell County43.5
20Patrick County43.4
21Mecklenburg County43.3
22Lee County43.2
22Rockbridge County43.2
24Dickenson County43
25Charlotte County42.9
26Essex County42.8
27Charles City County42.7
27Page County42.7
29Alleghany County42.6
29Craig County42.6
29Pulaski County42.6
32Amelia County42.5
32Henry County42.5
32Surry County42.5
32Tazewell County42.5
36King and Queen County42.4
37James City County42.1
37Washington County42.1
39Floyd County42
39Lunenburg County42
39Wythe County42
42Appomattox County41.9
43Smyth County41.7
44Clarke County41.6
44Giles County41.6
44Madison County41.6
47Bland County41.5
47Covington city41.5
49Bedford County41.4
49Louisa County41.4
51Botetourt County41.3
51Buckingham County41.3
53Bristol city41.2
54Southampton County41.1
55Cumberland County40.8
56Brunswick County40.7
56Campbell County40.7
56Powhatan County40.7
59Danville city40.6
60Goochland County40.5
61Wise County40.4
62Augusta County40.3
63Nottoway County40.2
63Shenandoah County40.2
65Galax city40.1
65Hanover County40.1
65Orange County40.1
68Rockingham County39.9
69Gloucester County39.8
70Amherst County39.7
70Norton city39.7
70Richmond County39.7
73Emporia city39.6
74Martinsville city39.5
74Virginia Beach city39.5
76Culpeper County39.4
77Dinwiddie County39.3
77Fauquier County39.3
77Fluvanna County39.3
77Greene County39.3
81Suffolk city39.2
82Chesterfield County39.1
82Franklin city39.1
82Poquoson city39.1
85Caroline County39
85Isle of Wight County39
85Roanoke County39
85Staunton city39
89Hopewell city38.9
90Salem city38.7
90Winchester city38.7
92Waynesboro city38.5
93Colonial Heights city38.4
93Frederick County38.4
95York County38.3
96Warren County38.2
97Buena Vista city38.1
97New Kent County38.1
99King William County37.9
100Fairfax County37.8
100Greensville County37.8
102Sussex County37.7
103King George County37.5
103Portsmouth city37.5
105Spotsylvania County37.4
106Albemarle County37.3
107Petersburg city37
107Roanoke city37
109Fairfax city36.9
110Hampton city36.7
111Falls Church city36.5
112Loudoun County36.3
112Newport News city36.3
112Prince William County36.3
115Manassas Park city36.2
116Manassas city36.1
117Prince Edward County35.7
117Stafford County35.7
119Alexandria city35.5
120Henrico County35.4
121Chesapeake city35.1
122Norfolk city34.6
123Richmond city34.5
124Charlottesville city34
125Arlington County33.9
125Montgomery County33.9
127Lynchburg city32.8
127Prince George County32.8
129Fredericksburg city32.7
130Williamsburg city32.2
131Harrisonburg city31
132Radford city30.3
133Lexington city29.6

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 Virginia 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-counties (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_virginia_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 Virginia 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/virginia-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 Virginia 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/virginia-counties
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/virginia-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 Virginia 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?

Lancaster County, with 46.7% in 2023, according to the Centers for Disease Control and Prevention.

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

Lexington city, with 29.6% 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 Virginia: more rankings