Counties in Ohio by uninsured rate, under 19 (US model-based estimate)

Holmes County had the highest uninsured rate, under 19 (US model-based estimate) of 88 counties in 2022, at 40.9%. Delaware County had the lowest, at 2.4%. The median was 4.4% and the figure for Ohio was 4.4%. Source: the U.S. Census Bureau.

Keep it in a collection in your library.
Highest40.9Holmes County
Median4.488 counties
Ohio4.4History

Map of counties, 2022

Adams County: 6 %Allen County: 5.1 %Ashland County: 5.5 %Ashtabula County: 6.3 %Athens County: 4.6 %Auglaize County: 3.3 %Belmont County: 4.4 %Brown County: 4.5 %Butler County: 4.1 %Carroll County: 6.4 %Champaign County: 4.5 %Clark County: 4.4 %Clermont County: 4.1 %Clinton County: 3.9 %Columbiana County: 5.3 %Coshocton County: 7.7 %Crawford County: 5 %Cuyahoga County: 4.6 %Darke County: 4.9 %Defiance County: 4.9 %Delaware County: 2.4 %Erie County: 4.1 %Fairfield County: 4.1 %Fayette County: 5.6 %Franklin County: 4 %Fulton County: 4.4 %Gallia County: 5.2 %Geauga County: 8 %Greene County: 3.5 %Guernsey County: 5.6 %Hamilton County: 3.4 %Hancock County: 3.7 %Hardin County: 6.5 %Harrison County: 5.6 %Henry County: 4.1 %Highland County: 6 %Hocking County: 5.8 %Holmes County: 40.9 %Huron County: 5.9 %Jackson County: 6.4 %Jefferson County: 4.1 %Knox County: 7.5 %Lake County: 3.8 %Lawrence County: 4.2 %Licking County: 3.4 %Logan County: 4.4 %Lorain County: 4.4 %Lucas County: 4 %Madison County: 4.9 %Mahoning County: 3.8 %Marion County: 4.4 %Medina County: 3.5 %Meigs County: 5.2 %Mercer County: 4.9 %Miami County: 4 %Monroe County: 5.9 %Montgomery County: 4.1 %Morgan County: 5.6 %Morrow County: 5.5 %Muskingum County: 4 %Noble County: 6 %Ottawa County: 4.9 %Paulding County: 5.8 %Perry County: 4.3 %Pickaway County: 4.5 %Pike County: 5 %Portage County: 3.4 %Preble County: 3.8 %Putnam County: 4.1 %Richland County: 4.3 %Ross County: 4.3 %Sandusky County: 4.2 %Scioto County: 4.9 %Seneca County: 4.2 %Shelby County: 4.9 %Stark County: 3.1 %Summit County: 3.3 %Trumbull County: 5.8 %Tuscarawas County: 6.4 %Union County: 2.8 %Van Wert County: 3.7 %Vinton County: 5.6 %Warren County: 3 %Washington County: 4.3 %Wayne County: 12.2 %Williams County: 4.3 %Wood County: 3.8 %Wyandot County: 4.2 %
  • Under 3.8
  • 3.8 to 4.1
  • 4.1 to 4.4
  • 4.4 to 5
  • 5 to 5.8
  • 5.8 and over
%, 2022. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Holmes County: 40.9 %Holmes County40.9Wayne County: 12.2 %Wayne County12.2Geauga County: 8 %Geauga County8Coshocton County: 7.7 %Coshocton County7.7Knox County: 7.5 %Knox County7.5Hardin County: 6.5 %Hardin County6.5Carroll County: 6.4 %Carroll County6.4Jackson County: 6.4 %Jackson County6.4Tuscarawas County: 6.4 %Tuscarawas County6.4Ashtabula County: 6.3 %Ashtabula County6.3Adams County: 6 %Adams County6Highland County: 6 %Highland County6Noble County: 6 %Noble County6Huron County: 5.9 %Huron County5.9Monroe County: 5.9 %Monroe County5.9Hocking County: 5.8 %Hocking County5.8Paulding County: 5.8 %Paulding County5.8Trumbull County: 5.8 %Trumbull County5.8Fayette County: 5.6 %Fayette County5.6Guernsey County: 5.6 %Guernsey County5.6Harrison County: 5.6 %Harrison County5.6Morgan County: 5.6 %Morgan County5.6Vinton County: 5.6 %Vinton County5.6Ashland County: 5.5 %Ashland County5.5Morrow County: 5.5 %Morrow County5.5Columbiana County: 5.3 %Columbiana County5.3Gallia County: 5.2 %Gallia County5.2Meigs County: 5.2 %Meigs County5.2Allen County: 5.1 %Allen County5.1Crawford County: 5 %Crawford County5Pike County: 5 %Pike County5Darke County: 4.9 %Darke County4.9Defiance County: 4.9 %Defiance County4.9Madison County: 4.9 %Madison County4.9Mercer County: 4.9 %Mercer County4.9Ottawa County: 4.9 %Ottawa County4.9Scioto County: 4.9 %Scioto County4.9Shelby County: 4.9 %Shelby County4.9Athens County: 4.6 %Athens County4.6Cuyahoga County: 4.6 %Cuyahoga County4.6Holmes County: 40.9 %Holmes County40.9Wayne County: 12.2 %Wayne County12.2Geauga County: 8 %Geauga County8Coshocton County: 7.7 %Coshocton County7.7Knox County: 7.5 %Knox County7.5Hardin County: 6.5 %Hardin County6.5Carroll County: 6.4 %Carroll County6.4Jackson County: 6.4 %Jackson County6.4Tuscarawas County: 6.4 %Tuscarawas County6.4Ashtabula County: 6.3 %Ashtabula County6.3Adams County: 6 %Adams County6Highland County: 6 %Highland County6Noble County: 6 %Noble County6Huron County: 5.9 %Huron County5.9Monroe County: 5.9 %Monroe County5.9Hocking County: 5.8 %Hocking County5.8Paulding County: 5.8 %Paulding County5.8Trumbull County: 5.8 %Trumbull County5.8Fayette County: 5.6 %Fayette County5.6Guernsey County: 5.6 %Guernsey County5.6Harrison County: 5.6 %Harrison County5.6Morgan County: 5.6 %Morgan County5.6Vinton County: 5.6 %Vinton County5.6Ashland County: 5.5 %Ashland County5.5Morrow County: 5.5 %Morrow County5.5Columbiana County: 5.3 %Columbiana County5.3Gallia County: 5.2 %Gallia County5.2Meigs County: 5.2 %Meigs County5.2Allen County: 5.1 %Allen County5.1Crawford County: 5 %Crawford County5Pike County: 5 %Pike County5Darke County: 4.9 %Darke County4.9Defiance County: 4.9 %Defiance County4.9Madison County: 4.9 %Madison County4.9Mercer County: 4.9 %Mercer County4.9Ottawa County: 4.9 %Ottawa County4.9Scioto County: 4.9 %Scioto County4.9Shelby County: 4.9 %Shelby County4.9Athens County: 4.6 %Athens County4.6Cuyahoga County: 4.6 %Cuyahoga County4.6
%. Source: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Holmes County40.9+9.7 pts
2Wayne County12.2-3.1 pts
3Geauga County8-2.7 pts
4Coshocton County7.7-2.2 pts
5Knox County7.5+2.1 pts
6Hardin County6.5-2 pts
7Carroll County6.4-0.4 pts
7Jackson County6.4+0.8 pts
7Tuscarawas County6.4-1.4 pts
10Ashtabula County6.3-1.6 pts
11Adams County6+0.3 pts
11Highland County6-0.4 pts
11Noble County6-0.6 pts
14Huron County5.90 pts
14Monroe County5.9-0.9 pts
16Hocking County5.8-0.2 pts
16Paulding County5.8-0.4 pts
16Trumbull County5.8-0.3 pts
19Fayette County5.6-0.7 pts
19Guernsey County5.6-1 pts
19Harrison County5.6-1.2 pts
19Morgan County5.6-0.2 pts
19Vinton County5.6-2.2 pts
24Ashland County5.5-1.8 pts
24Morrow County5.5-2.3 pts
26Columbiana County5.3-0.5 pts
27Gallia County5.2-1.1 pts
27Meigs County5.2-1.5 pts
29Allen County5.1-0.2 pts
30Crawford County5-0.5 pts
30Pike County5-0.2 pts
32Darke County4.9-1.7 pts
32Defiance County4.9-0.3 pts
32Madison County4.90 pts
32Mercer County4.9-0.2 pts
32Ottawa County4.9-0.3 pts
32Scioto County4.9+0.3 pts
32Shelby County4.9-0.1 pts
39Athens County4.6-0.6 pts
39Cuyahoga County4.6+1 pts
41Brown County4.5-1.3 pts
41Champaign County4.5-1.1 pts
41Pickaway County4.5-1.6 pts
44Belmont County4.4-0.8 pts
44Clark County4.40 pts
44Fulton County4.4-1.5 pts
44Logan County4.4-0.5 pts
44Lorain County4.4-0.4 pts
44Marion County4.4+0.5 pts
50Perry County4.3-1.2 pts
50Richland County4.3-1.9 pts
50Ross County4.3-0.1 pts
50Washington County4.3-1.8 pts
50Williams County4.3-0.4 pts
55Lawrence County4.2-1 pts
55Sandusky County4.2-1 pts
55Seneca County4.2-0.7 pts
55Wyandot County4.2-0.7 pts
59Butler County4.1-1.1 pts
59Clermont County4.1-0.8 pts
59Erie County4.1-0.6 pts
59Fairfield County4.1-0.1 pts
59Henry County4.1-0.8 pts
59Jefferson County4.1-0.9 pts
59Montgomery County4.1-0.7 pts
59Putnam County4.1-0.7 pts
67Franklin County4-0.9 pts
67Lucas County4-0.3 pts
67Miami County4-0.8 pts
67Muskingum County4-1.1 pts
71Clinton County3.9-1.2 pts
72Lake County3.8-0.7 pts
72Mahoning County3.8+0.2 pts
72Preble County3.8-1.2 pts
72Wood County3.80 pts
76Hancock County3.7-1.2 pts
76Van Wert County3.7-1.1 pts
78Greene County3.5-1.1 pts
78Medina County3.5-0.5 pts
80Hamilton County3.4-1.4 pts
80Licking County3.4-1.3 pts
80Portage County3.4-1.8 pts
83Auglaize County3.3-1.4 pts
83Summit County3.3-0.9 pts
85Stark County3.1-1.1 pts
86Warren County3-0.5 pts
87Union County2.8-1.1 pts
88Delaware County2.4-0.5 pts

Other periods

About this ranking

People under 19 without health insurance coverage of any kind, as a percentage of all people under 19. United States: Census Bureau Small Area Health Insurance Estimates (SAHIE) for states and counties, all races, both sexes and all income levels.

A model-based single-year estimate that combines the American Community Survey with administrative records and population estimates, so every county gets a figure. Covers states and counties only, because the SAHIE dataset files have no national row. The Census Bureau advises comparing years from 2008 on only; 2013 is the updated release. Under 19 matches the age limit for children in Medicaid and the Children's Health Insurance Program (CHIP).

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

U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. 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). Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties (Counties in Ohio by uninsured rate, under 19 (US model-based estimate), 2022) [Data set]. Retrieved October 12, 2026, from https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip

MLA 9

Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Ohio by uninsured rate, under 19 (US model-based estimate), 2022. U.S. Census Bureau, 6 Aug. 2026, https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2022. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Census Bureau. 2026. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Counties in Ohio by uninsured rate, under 19 (US model-based estimate), 2022. Dataset. Accessed October 12, 2026. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Also distributed by Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2022.

Harvard

U.S. Census Bureau (2026) Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties, Counties in Ohio by uninsured rate, under 19 (US model-based estimate), 2022 [Dataset]. Available at: https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip, via Invokely: https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{census_counties_in_ohio_by_2022,
  author = {{U.S. Census Bureau}},
  title = {{Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Ohio by uninsured rate, under 19 (US model-based estimate), 2022}},
  year = {2026},
  howpublished = {Data set},
  url = {https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2022. Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Retrieved 2026-10-12.},
}
RIS
TY  - DATA
AU  - U.S. Census Bureau
TI  - Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties: Counties in Ohio by uninsured rate, under 19 (US model-based estimate), 2022
PY  - 2026
DA  - 2026/08/06
PB  - U.S. Census Bureau
DB  - Invokely
UR  - https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip
L2  - https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/uninsured-rate-under-19/ohio-counties?period=2022.
N1  - Publisher attribution: U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. https://www2.census.gov/programs-surveys/sahie/datasets/time-series/estimates-acs/sahie-2022-csv.zip. Retrieved 2026-10-12.
ER  - 
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Rank Counties in Ohio by uninsured rate, under 19 (US model-based estimate) using official data, and cite the source.
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Questions

Which county has the highest uninsured rate, under 19 (US model-based estimate)?

Holmes County, with 40.9% in 2022, according to the U.S. Census Bureau.

Which county has the lowest uninsured rate, under 19 (US model-based estimate)?

Delaware County, with 2.4% in 2022.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Census Bureau, Small Area Health Insurance Estimates (SAHIE): percent uninsured, under 19, all races, both sexes, all income levels, states and counties. Retrieved 2026-10-12.

Uninsured rate, under 19 (US model-based estimate): other rankings

Counties in Ohio: more rankings