Cities in Alabama by uninsured rate, under 19 (US, ACS)

Foley, AL had the highest uninsured rate, under 19 (US, ACS) of 66 cities in 2023, at 20.1%. Spanish Fort, AL had the lowest, at 0%. The median was 3.2% and the figure for Alabama was 3.5%. Source: the U.S. Census Bureau.

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Highest20.1Foley, AL
Median3.266 cities
Alabama3.5History

Top 40 cities, 2023

Foley, AL: 20.1 %Foley, AL20.1Bessemer, AL: 13.1 %Bessemer, AL13.1Russellville, AL: 11.3 %Russellville, AL11.3Gulf Shores, AL: 10 %Gulf Shores, AL10Oxford, AL: 8 %Oxford, AL8Gadsden, AL: 7.7 %Gadsden, AL7.7Decatur, AL: 7.1 %Decatur, AL7.1Jasper, AL: 6.9 %Jasper, AL6.9Albertville, AL: 6.6 %Albertville, AL6.6Moody, AL: 6.5 %Moody, AL6.5Center Point, AL: 6 %Center Point, AL6Eufaula, AL: 5.9 %Eufaula, AL5.9Pelham, AL: 5.5 %Pelham, AL5.5Troy, AL: 5.5 %Troy, AL5.5Irondale, AL: 5.4 %Irondale, AL5.4Athens, AL: 5.3 %Athens, AL5.3Prichard, AL: 5.3 %Prichard, AL5.3Valley, AL: 5.2 %Valley, AL5.2Homewood, AL: 5.1 %Homewood, AL5.1Fairhope, AL: 5 %Fairhope, AL5Jacksonville, AL: 5 %Jacksonville, AL5Florence, AL: 4.6 %Florence, AL4.6Ozark, AL: 4 %Ozark, AL4Saraland, AL: 4 %Saraland, AL4Birmingham, AL: 3.9 %Birmingham, AL3.9Montgomery, AL: 3.7 %Montgomery, AL3.7Fort Payne, AL: 3.7 %Fort Payne, AL3.7Trussville, AL: 3.5 %Trussville, AL3.5Helena, AL: 3.5 %Helena, AL3.5Scottsboro, AL: 3.5 %Scottsboro, AL3.5Enterprise, AL: 3.4 %Enterprise, AL3.4Dothan, AL: 3.2 %Dothan, AL3.2Huntsville, AL: 3.2 %Huntsville, AL3.2Talladega, AL: 3.1 %Talladega, AL3.1Phenix City, AL: 3.1 %Phenix City, AL3.1Leeds, AL: 3.1 %Leeds, AL3.1Daphne, AL: 3 %Daphne, AL3Hueytown, AL: 2.8 %Hueytown, AL2.8Chelsea, AL: 2.8 %Chelsea, AL2.8Alabaster, AL: 2.7 %Alabaster, AL2.7Foley, AL: 20.1 %Foley, AL20.1Bessemer, AL: 13.1 %Bessemer, AL13.1Russellville, AL: 11.3 %Russellville, AL11.3Gulf Shores, AL: 10 %Gulf Shores, AL10Oxford, AL: 8 %Oxford, AL8Gadsden, AL: 7.7 %Gadsden, AL7.7Decatur, AL: 7.1 %Decatur, AL7.1Jasper, AL: 6.9 %Jasper, AL6.9Albertville, AL: 6.6 %Albertville, AL6.6Moody, AL: 6.5 %Moody, AL6.5Center Point, AL: 6 %Center Point, AL6Eufaula, AL: 5.9 %Eufaula, AL5.9Pelham, AL: 5.5 %Pelham, AL5.5Troy, AL: 5.5 %Troy, AL5.5Irondale, AL: 5.4 %Irondale, AL5.4Athens, AL: 5.3 %Athens, AL5.3Prichard, AL: 5.3 %Prichard, AL5.3Valley, AL: 5.2 %Valley, AL5.2Homewood, AL: 5.1 %Homewood, AL5.1Fairhope, AL: 5 %Fairhope, AL5Jacksonville, AL: 5 %Jacksonville, AL5Florence, AL: 4.6 %Florence, AL4.6Ozark, AL: 4 %Ozark, AL4Saraland, AL: 4 %Saraland, AL4Birmingham, AL: 3.9 %Birmingham, AL3.9Montgomery, AL: 3.7 %Montgomery, AL3.7Fort Payne, AL: 3.7 %Fort Payne, AL3.7Trussville, AL: 3.5 %Trussville, AL3.5Helena, AL: 3.5 %Helena, AL3.5Scottsboro, AL: 3.5 %Scottsboro, AL3.5Enterprise, AL: 3.4 %Enterprise, AL3.4Dothan, AL: 3.2 %Dothan, AL3.2Huntsville, AL: 3.2 %Huntsville, AL3.2Talladega, AL: 3.1 %Talladega, AL3.1Phenix City, AL: 3.1 %Phenix City, AL3.1Leeds, AL: 3.1 %Leeds, AL3.1Daphne, AL: 3 %Daphne, AL3Hueytown, AL: 2.8 %Hueytown, AL2.8Chelsea, AL: 2.8 %Chelsea, AL2.8Alabaster, AL: 2.7 %Alabaster, AL2.7
%. Source: Invokely calculation with data from U.S. Census Bureau. Retrieved 2026-10-12.

Full ranking

RankCities2023 (%)Change on 2022
1Foley, AL20.1-3.1 pts
2Bessemer, AL13.1+1.3 pts
3Russellville, AL11.3+1.5 pts
4Gulf Shores, AL10+1.9 pts
5Oxford, AL8-1.7 pts
6Gadsden, AL7.7+1.7 pts
7Decatur, AL7.1+0.9 pts
8Jasper, AL6.9-1.9 pts
9Albertville, AL6.6+4.4 pts
10Moody, AL6.5-3 pts
11Center Point, AL6+2.6 pts
12Eufaula, AL5.9+3.4 pts
13Pelham, AL5.5+3.8 pts
14Troy, AL5.5+1.5 pts
15Irondale, AL5.4+3.9 pts
16Athens, AL5.3+3 pts
17Prichard, AL5.3+0.2 pts
18Valley, AL5.2+1.6 pts
19Homewood, AL5.1+1.5 pts
20Fairhope, AL5+2.2 pts
20Jacksonville, AL5+0.6 pts
22Florence, AL4.60 pts
23Ozark, AL4-0.1 pts
23Saraland, AL4+0.8 pts
25Birmingham, AL3.9+0.9 pts
26Montgomery, AL3.7+0.5 pts
27Fort Payne, AL3.7+0.1 pts
28Trussville, AL3.5+2.6 pts
29Helena, AL3.50 pts
29Scottsboro, AL3.5+0.9 pts
31Enterprise, AL3.4+0.2 pts
32Dothan, AL3.2+1 pts
33Huntsville, AL3.2+0.2 pts
34Talladega, AL3.1-1.1 pts
35Phenix City, AL3.1-0.4 pts
36Leeds, AL3.1+0.2 pts
37Daphne, AL3+1.1 pts
38Hueytown, AL2.8-1 pts
39Chelsea, AL2.8+2.1 pts
40Alabaster, AL2.7-0.8 pts
41Pike Road, AL2.6-1.6 pts
42Auburn, AL2.6+0.2 pts
43Prattville, AL2.5+1.4 pts
44Mobile, AL2.2-0 pts
45Sylacauga, AL2.1+1.9 pts
46Tuscaloosa, AL2.1+0.1 pts
47Gardendale, AL2.1+1.3 pts
48Clay, AL2-4.6 pts
49Opelika, AL2-0.7 pts
50Anniston, AL1.8+0.3 pts
51Northport, AL1.5-0.4 pts
52Cullman, AL1.5+0.4 pts
53Hoover, AL1.4-0.5 pts
54Hartselle, AL1.30 pts
54Vestavia Hills, AL1.3-0.1 pts
56Madison, AL1.2+0.1 pts
57Calera, AL1.1+1.1 pts
58Rainbow City, AL0.9+0.2 pts
59Alexander City, AL0.7-2.3 pts
59Boaz, AL0.7-3 pts
61Millbrook, AL0.6-0 pts
62Mountain Brook, AL0.5-0 pts
63Muscle Shoals, AL0.3+0.3 pts
64Selma, AL0.3-0.6 pts
65Pell City, AL0-0.9 pts
65Spanish Fort, AL0-1.4 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of the civilian noninstitutionalized population under 19. United States: American Community Survey five-year estimate, where the period shown is the last year of the five-year span.

Coverage is what people reported at the interview, so the five-year figure averages five years of answers. People whose only coverage is the Indian Health Service count as uninsured. Active-duty military and people living in institutions are outside the universe. For single-year model-based county figures under 65, see uninsured_rate_under_65, uninsured_rate_18_64 and uninsured_rate_under_19 (SAHIE), a different source.

Every value in the ranking comes from the same publisher and the same period, so the cities are compared on one definition. Equal values share a rank.

How to cite

U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.

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

U.S. Census Bureau. (2026). American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more) (Cities in Alabama by uninsured rate, under 19 (US, ACS), 2023) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat

MLA 9

American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, under 19 (US, ACS), 2023. U.S. Census Bureau, 29 Jan. 2026, https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-cities?period=2023. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Cities in Alabama by uninsured rate, under 19 (US, ACS), 2023. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-cities?period=2023.

Harvard

U.S. Census Bureau (2026) American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more), Cities in Alabama by uninsured rate, under 19 (US, ACS), 2023 [Dataset]. Available at: https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-cities?period=2023 (Accessed: 12 October 2026).

BibTeX
@misc{census_cities_in_alabama_by_2023,
  author = {{U.S. Census Bureau}},
  title = {{American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, under 19 (US, ACS), 2023}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-cities?period=2023. Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary\_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more): Cities in Alabama by uninsured rate, under 19 (US, ACS), 2023
PY  - 2026
DA  - 2026/01/29
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat
L2  - https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-cities?period=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19-acs/alabama-cities?period=2023.
N1  - Publisher attribution: U.S. Census Bureau. American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more). https://www2.census.gov/programs-surveys/acs/summary_file/2023/table-based-SF/data/5YRData/acsdt5y2023-b27010.dat. Retrieved 2026-10-12.
ER  - 
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Rank Cities in Alabama by uninsured rate, under 19 (US, ACS) using official data, and cite the source.
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Questions

Which city has the highest uninsured rate, under 19 (US, ACS)?

Foley, AL, with 20.1% in 2023, according to the U.S. Census Bureau.

Which city has the lowest uninsured rate, under 19 (US, ACS)?

Spanish Fort, AL, with 0% in 2023.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, American Community Survey 5-year estimates, table B27010: people under 19 with no health insurance coverage as a percentage of the civilian noninstitutionalized population under 19, calculated with stored inputs, US cities (incorporated places of 10,000 or more). Retrieved 2026-10-12.

Uninsured rate, under 19 (US, ACS): other rankings

Cities in Alabama: more rankings