Health · Julian

Julian, CA health

Julian differs from California on 20 of 40 measures. It has fewer uninsured adults (5.3% vs 10.6%) and fewer older adults who have lost all their teeth (5.3% vs 10.6%). Where it trails the state: more adults who have had cancer (11% vs 6.4%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Julian
TownTapestry Health GradeNew

Julian’s Health Grade: A

On seven CDC health estimates for adults, Julian is healthier than 90% of U.S. towns and 83% of California towns.

A-Self-rated healthA-Physical distressA-Mental distressA+ObesityA-DiabetesASmokingAExercise
All U.S. towns we grade (19,420)Healthier than 90%
Less healthyHealthier
California towns we grade (1,056)Healthier than 83%
Towns with similar incomes, $58K–$97K (9,842)Healthier than 98%

About what its income would suggest. Julian does about as well against towns with similar incomes as against all towns.

These are estimates. At the ends of CDC’s likely ranges, Julian could be anywhere from B+ to A+.
How the Health Grade works
  • Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as our Healthiest towns in California ranking.
  • Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
  • Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Julian with U.S. towns whose median household income is within 25% of its own.
  • Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. Julian uses CDC’s own estimate for it. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Report card

How Julian compares with California

Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.

Chronic conditions

Out of every 100 Julian adults…

33 of every 100 Julian adults have high blood pressure
California: 31 in 100 · worse · margin 30.6–36.2%

Bars show Julian; the black tick is California. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Julian, betterJulian, worseToo close to callCalifornia
Get no exerciseshare of adults 16.9% Julian
CA 24.6%
Sleep under 7 hoursshare of adults 30% Julian
CA 35.1%
Binge drinkshare of adults 15.9% Julian
CA 15.3%
Smoke cigarettesshare of adults 9% Julian
CA 10.9%
0%10%20%30%40%
Care & screenings

Keeping up with care

Share of Julian adults getting routine care. The full ring is 100%; the dark tick marks California.

77%
Yearly checkup
CA 72%
75%
Dentist visit
CA 63%
90%
Cholesterol check
CA 85%
72%
Colon screening
CA 58%
81%
Mammogram
CA 76%
74%
Taking BP meds
CA 71%
1 in 19
working-age adults has no health insurance
Julian 5.3% · California 1 in 9 (10.6%)
Mind & connection

How Julian adults are doing

1 in 3Julian adults feel lonely
32.2% · California 37.3% · better
1 in 4Julian adults have been diagnosed with depression
22.3% · California 20.1% · too close to call
1 in 4Julian adults lack social or emotional support
23.7% · California 28.6% · better
1 in 7Julian adults are in frequent mental distress
14.9% · California 16.4% · too close to call
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 11
Julian adults worry about having enough food
9% · CA 17.9% · better
1 in 12
Julian adults worry about keeping their housing
8.6% · CA 14.9% · better
1 in 23
Julian adults were threatened with a utility shut-off
4.3% · CA 7.3% · better
1 in 18
Julian adults lack reliable transportation
5.6% · CA 9.3% · better

8.5% of Julian adults receive SNAP (food stamps), compared with 15.6% across California.

Disability

Living with a disability

26.1%

of Julian adults live with a disability (California 30.4%). Walking or climbing stairs is the most common.

Walking or climbing stairs12.4%
Thinking or memory11.7%
Hearing6.6%
Errands alone6.5%
Vision3.8%
Dressing or bathing3.1%

Black tick: California. Shown without a better/worse judgment.

Getting care

Care in and near Julian

1 community health center in Julian, plus the nearest just outside it.

HNearest ERPalomar Medical Center PowayPoway · 27.7 miDirections →
★Best rated nearbyGrossmont Hospital★★★★★ · 31.7 miDirections →
+Low-cost careCentro De Salud De La Comunidad De San YsidroJulian · 0.9 mi · sliding-scale feesDirections →
0.9 mi
Centro De Salud De La Comunidad De San Ysidro
2 sites · nearest in Julian
Sliding-scale feesIn Julian
Directions to nearest
17.2 mi
Dap Health
2 sites · nearest in Borrego Springs
Sliding-scale fees
Directions to nearest
27.7 mi
Palomar Medical Center Poway
Poway · ★★★★★
ER
28.4 mi
Palomar Health Downtown Campus
Escondido · ★★★★★
ER
31.7 mi
Grossmont Hospital
La Mesa · ★★★★★
ER
33.7 mi
Kaiser Foundation Hospital - San Marcos
San Marcos · ★★★★★
ER
✓ Primary careJulian is not a shortage area
✓ Dental careJulian is not a shortage area
✓ Mental healthJulian is not a shortage area

Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Julian. Shortage areas: HRSA Health Professional Shortage Areas.

All 40 measures for Julian
MeasureJulianMarginCalifornia
Chronic conditions
High blood pressure33.2%30.6–36.2%30.5%worse
High cholesterol38.1%35.4–41.1%35.4%about the same
Obesity24.8%21.7–28.5%27.8%about the same
Arthritis26.2%23.7–28.7%20.8%worse
Depression22.3%20–24.9%20.1%about the same
Lost all teeth (65+)5.3%4.2–6.6%10.6%better
Asthma9.5%8.6–10.7%9.3%about the same
Cancer (not skin)11%9.9–12.2%6.4%worse
Diabetes10.1%8.7–11.6%11.7%better
COPD5.7%4.4–7%5.1%about the same
Heart disease6.4%5.5–7.4%5.6%about the same
Stroke3.3%2.8–3.8%3.1%about the same
Habits
Smoke cigarettes9%7–11.1%10.9%about the same
Binge drink15.9%14–18.2%15.3%about the same
Get no exercise16.9%14–19.9%24.6%better
Sleep under 7 hours30%26.8–33.2%35.1%better
Care & screenings
Yearly checkup77.1%74.6–79.7%71.9%better
Dentist visit75%72.6–77.3%62.8%better
Cholesterol check90.2%88.9–91.5%85.4%better
Colon screening72.4%68.6–75.8%57.5%better
Mammogram81.2%76.1–85.7%75.7%better
Taking BP meds73.9%71–76.9%71.3%about the same
No health insurance5.3%4.2–6.5%10.6%better
Mind & connection
Feel lonely32.2%28.9–35.8%37.3%better
Lack emotional support23.7%20.9–27%28.6%better
Frequent mental distress14.9%13.1–16.7%16.4%about the same
Fair or poor health16.1%13.4–18.9%22.1%better
Frequent physical distress12.2%10.4–13.9%13.4%about the same
Everyday needs
Food insecurity9%7.2–11.1%17.9%better
Housing insecurity8.6%7.2–10.4%14.9%better
Utility shut-off threat4.3%3.6–5.1%7.3%better
No reliable transportation5.6%4.8–6.6%9.3%better
Receive SNAP8.5%6.6–10.6%15.6%
Disability
Any disability26.1%22.7–29.5%30.4%
Walking or climbing stairs12.4%10.2–14.7%13.8%
Thinking or memory11.7%9.9–13.4%14.6%
Hearing6.6%5.7–7.5%5.9%
Vision3.8%3.2–4.4%5.6%
Dressing or bathing3.1%2.6–3.7%3.9%
Errands alone6.5%5.5–7.7%8.1%
About these numbers

How CDC estimates town health

They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Julian door to door.
Close calls stay grayEvery figure has a margin of error. When the California figure falls inside it, we don't call Julian better or worse.
CDC's own town estimateCDC publishes Julian directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The California figure combines its counties, weighted by adult population.

Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.

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