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

Lancaster County had the highest high cholesterol in screened adults, local model estimate of 133 counties in 2021, at 46%. Radford city had the lowest, at 28%. The median was 39%. Source: the Centers for Disease Control and Prevention.

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Highest46Lancaster County
Lowest28Radford city
Median39133 counties

Map of counties, 2021

Accomack County: 41.3 %Albemarle County: 36.7 %Alleghany County: 42.4 %Amelia County: 41.1 %Amherst County: 39.5 %Appomattox County: 39.5 %Arlington County: 33 %Augusta County: 38.2 %Bath County: 44.3 %Bedford County: 39.8 %Bland County: 41.5 %Botetourt County: 41.6 %Brunswick County: 39.1 %Buchanan County: 43.5 %Buckingham County: 39.6 %Campbell County: 41.6 %Caroline County: 36.8 %Carroll County: 41.1 %Charles City County: 42.2 %Charlotte County: 41.4 %Chesterfield County: 36.7 %Clarke County: 40 %Craig County: 41.7 %Culpeper County: 38.2 %Cumberland County: 41 %Dickenson County: 43.5 %Dinwiddie County: 40.1 %Essex County: 42.8 %Fairfax County: 36.8 %Fauquier County: 36.3 %Floyd County: 40.5 %Fluvanna County: 38.4 %Franklin County: 41.8 %Frederick County: 37.1 %Giles County: 39.9 %Gloucester County: 38.1 %Goochland County: 38.7 %Grayson County: 41.4 %Greene County: 39.2 %Greensville County: 37.3 %Halifax County: 43.9 %Hanover County: 36.9 %Henrico County: 39.8 %Henry County: 43.3 %Highland County: 45.9 %Isle of Wight County: 38.4 %James City County: 37.4 %King and Queen County: 40.5 %King George County: 35.2 %King William County: 37.7 %Lancaster County: 46 %Lee County: 44.1 %Loudoun County: 36.2 %Louisa County: 39 %Lunenburg County: 40.3 %Madison County: 40.8 %Mathews County: 42.5 %Mecklenburg County: 41.9 %Middlesex County: 45.6 %Montgomery County: 30.6 %Nelson County: 42.7 %New Kent County: 37.6 %Northampton County: 42.8 %Northumberland County: 44.9 %Nottoway County: 38.6 %Orange County: 38.3 %Page County: 40.2 %Patrick County: 44.8 %Pittsylvania County: 41.3 %Powhatan County: 39 %Prince Edward County: 33.2 %Prince George County: 34.3 %Prince William County: 33.8 %Pulaski County: 40.6 %Rappahannock County: 41.4 %Richmond County: 38 %Roanoke County: 38 %Rockbridge County: 40.8 %Rockingham County: 38.6 %Russell County: 41.8 %Scott County: 42.2 %Shenandoah County: 39.4 %Smyth County: 42.5 %Southampton County: 40 %Spotsylvania County: 38.2 %Stafford County: 35.3 %Surry County: 41.9 %Sussex County: 36.3 %Tazewell County: 41.2 %Warren County: 38.4 %Washington County: 43.4 %Westmoreland County: 41.4 %Wise County: 38 %Wythe County: 41.5 %York County: 35.8 %Alexandria city: 31.9 %Bristol city: 39.6 %Buena Vista city: 37.2 %Charlottesville city: 32.2 %Chesapeake city: 34.4 %Colonial Heights city: 38.2 %Covington city: 39.9 %Danville city: 40.4 %Emporia city: 39.8 %Fairfax city: 35.8 %Falls Church city: 35.8 %Franklin city: 38.6 %Fredericksburg city: 29.7 %Galax city: 39.5 %Hampton city: 35.3 %Harrisonburg city: 31.3 %Hopewell city: 37.5 %Lexington city: 29.7 %Lynchburg city: 31.8 %Manassas city: 34 %Manassas Park city: 33.4 %Martinsville city: 39.9 %Newport News city: 35.3 %Norfolk city: 30.6 %Norton city: 39.3 %Petersburg city: 37.1 %Poquoson city: 37.2 %Portsmouth city: 33.7 %Radford city: 28 %Richmond city: 31.6 %Roanoke city: 38.2 %Salem city: 40 %Staunton city: 37.5 %Suffolk city: 36.7 %Virginia Beach city: 38 %Waynesboro city: 38.1 %Williamsburg city: 31.7 %Winchester city: 36.8 %
  • Under 35
  • 35 to 38
  • 38 to 39
  • 39 to 40
  • 40 to 42
  • 42 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

Lancaster County: 46 %Lancaster County46Highland County: 45.9 %Highland County45.9Middlesex County: 45.6 %Middlesex County45.6Northumberland County: 44.9 %Northumberland County44.9Patrick County: 44.8 %Patrick County44.8Bath County: 44.3 %Bath County44.3Lee County: 44.1 %Lee County44.1Halifax County: 43.9 %Halifax County43.9Buchanan County: 43.5 %Buchanan County43.5Dickenson County: 43.5 %Dickenson County43.5Washington County: 43.4 %Washington County43.4Henry County: 43.3 %Henry County43.3Essex County: 42.8 %Essex County42.8Northampton County: 42.8 %Northampton County42.8Nelson County: 42.7 %Nelson County42.7Mathews County: 42.5 %Mathews County42.5Smyth County: 42.5 %Smyth County42.5Alleghany County: 42.4 %Alleghany County42.4Charles City County: 42.2 %Charles City County42.2Scott County: 42.2 %Scott County42.2Mecklenburg County: 41.9 %Mecklenburg County41.9Surry County: 41.9 %Surry County41.9Franklin County: 41.8 %Franklin County41.8Russell County: 41.8 %Russell County41.8Craig County: 41.7 %Craig County41.7Botetourt County: 41.6 %Botetourt County41.6Campbell County: 41.6 %Campbell County41.6Bland County: 41.5 %Bland County41.5Wythe County: 41.5 %Wythe County41.5Charlotte County: 41.4 %Charlotte County41.4Grayson County: 41.4 %Grayson County41.4Rappahannock County: 41.4 %Rappahannock County41.4Westmoreland County: 41.4 %Westmoreland County41.4Accomack County: 41.3 %Accomack County41.3Pittsylvania County: 41.3 %Pittsylvania County41.3Tazewell County: 41.2 %Tazewell County41.2Amelia County: 41.1 %Amelia County41.1Carroll County: 41.1 %Carroll County41.1Cumberland County: 41 %Cumberland County41Madison County: 40.8 %Madison County40.8Lancaster County: 46 %Lancaster County46Highland County: 45.9 %Highland County45.9Middlesex County: 45.6 %Middlesex County45.6Northumberland County: 44.9 %Northumberland County44.9Patrick County: 44.8 %Patrick County44.8Bath County: 44.3 %Bath County44.3Lee County: 44.1 %Lee County44.1Halifax County: 43.9 %Halifax County43.9Buchanan County: 43.5 %Buchanan County43.5Dickenson County: 43.5 %Dickenson County43.5Washington County: 43.4 %Washington County43.4Henry County: 43.3 %Henry County43.3Essex County: 42.8 %Essex County42.8Northampton County: 42.8 %Northampton County42.8Nelson County: 42.7 %Nelson County42.7Mathews County: 42.5 %Mathews County42.5Smyth County: 42.5 %Smyth County42.5Alleghany County: 42.4 %Alleghany County42.4Charles City County: 42.2 %Charles City County42.2Scott County: 42.2 %Scott County42.2Mecklenburg County: 41.9 %Mecklenburg County41.9Surry County: 41.9 %Surry County41.9Franklin County: 41.8 %Franklin County41.8Russell County: 41.8 %Russell County41.8Craig County: 41.7 %Craig County41.7Botetourt County: 41.6 %Botetourt County41.6Campbell County: 41.6 %Campbell County41.6Bland County: 41.5 %Bland County41.5Wythe County: 41.5 %Wythe County41.5Charlotte County: 41.4 %Charlotte County41.4Grayson County: 41.4 %Grayson County41.4Rappahannock County: 41.4 %Rappahannock County41.4Westmoreland County: 41.4 %Westmoreland County41.4Accomack County: 41.3 %Accomack County41.3Pittsylvania County: 41.3 %Pittsylvania County41.3Tazewell County: 41.2 %Tazewell County41.2Amelia County: 41.1 %Amelia County41.1Carroll County: 41.1 %Carroll County41.1Cumberland County: 41 %Cumberland County41Madison County: 40.8 %Madison County40.8
%. 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 (%)
1Lancaster County46
2Highland County45.9
3Middlesex County45.6
4Northumberland County44.9
5Patrick County44.8
6Bath County44.3
7Lee County44.1
8Halifax County43.9
9Buchanan County43.5
9Dickenson County43.5
11Washington County43.4
12Henry County43.3
13Essex County42.8
13Northampton County42.8
15Nelson County42.7
16Mathews County42.5
16Smyth County42.5
18Alleghany County42.4
19Charles City County42.2
19Scott County42.2
21Mecklenburg County41.9
21Surry County41.9
23Franklin County41.8
23Russell County41.8
25Craig County41.7
26Botetourt County41.6
26Campbell County41.6
28Bland County41.5
28Wythe County41.5
30Charlotte County41.4
30Grayson County41.4
30Rappahannock County41.4
30Westmoreland County41.4
34Accomack County41.3
34Pittsylvania County41.3
36Tazewell County41.2
37Amelia County41.1
37Carroll County41.1
39Cumberland County41
40Madison County40.8
40Rockbridge County40.8
42Pulaski County40.6
43Floyd County40.5
43King and Queen County40.5
45Danville city40.4
46Lunenburg County40.3
47Page County40.2
48Dinwiddie County40.1
49Clarke County40
49Salem city40
49Southampton County40
52Covington city39.9
52Giles County39.9
52Martinsville city39.9
55Bedford County39.8
55Emporia city39.8
55Henrico County39.8
58Bristol city39.6
58Buckingham County39.6
60Amherst County39.5
60Appomattox County39.5
60Galax city39.5
63Shenandoah County39.4
64Norton city39.3
65Greene County39.2
66Brunswick County39.1
67Louisa County39
67Powhatan County39
69Goochland County38.7
70Franklin city38.6
70Nottoway County38.6
70Rockingham County38.6
73Fluvanna County38.4
73Isle of Wight County38.4
73Warren County38.4
76Orange County38.3
77Augusta County38.2
77Colonial Heights city38.2
77Culpeper County38.2
77Roanoke city38.2
77Spotsylvania County38.2
82Gloucester County38.1
82Waynesboro city38.1
84Richmond County38
84Roanoke County38
84Virginia Beach city38
84Wise County38
88King William County37.7
89New Kent County37.6
90Hopewell city37.5
90Staunton city37.5
92James City County37.4
93Greensville County37.3
94Buena Vista city37.2
94Poquoson city37.2
96Frederick County37.1
96Petersburg city37.1
98Hanover County36.9
99Caroline County36.8
99Fairfax County36.8
99Winchester city36.8
102Albemarle County36.7
102Chesterfield County36.7
102Suffolk city36.7
105Fauquier County36.3
105Sussex County36.3
107Loudoun County36.2
108Fairfax city35.8
108Falls Church city35.8
108York County35.8
111Hampton city35.3
111Newport News city35.3
111Stafford County35.3
114King George County35.2
115Chesapeake city34.4
116Prince George County34.3
117Manassas city34
118Prince William County33.8
119Portsmouth city33.7
120Manassas Park city33.4
121Prince Edward County33.2
122Arlington County33
123Charlottesville city32.2
124Alexandria city31.9
125Lynchburg city31.8
126Williamsburg city31.7
127Richmond city31.6
128Harrisonburg city31.3
129Montgomery County30.6
129Norfolk city30.6
131Fredericksburg city29.7
131Lexington city29.7
133Radford city28

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, 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 Virginia 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/virginia-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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_virginia_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 Virginia 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/virginia-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 Virginia 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/virginia-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-high-cholesterol-rate-county-estimate/virginia-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 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% in 2021, according to the Centers for Disease Control and Prevention.

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

Radford city, with 28% 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 Virginia: more rankings