Health · Middletown

Middletown, DE health

Middletown differs from Delaware on 14 of 40 measures. It has fewer adults with heart disease (5.1% vs 6.9%) and fewer adults with COPD (5.3% vs 7.1%). Where it trails the state: fewer adults treating high blood pressure (74.3% vs 78.1%).

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

Middletown’s Health Grade: A−

On seven CDC health estimates for adults, Middletown is healthier than 78% of U.S. towns and 85% of Delaware towns.

A-Self-rated healthAPhysical distressA-Mental distressB+ObesityBDiabetesA-SmokingBExercise
All U.S. towns we grade (19,420)Healthier than 78%
Less healthyHealthier
Delaware towns we grade (55)Healthier than 85%
Towns with similar incomes, $85K–$141K (6,319)Healthier than 58%

Wealth explains part of the grade. Middletown is healthier than 78% of U.S. towns overall, but against towns with similar incomes its edge is smaller.

These are estimates. At the ends of CDC’s likely ranges, Middletown 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 Delaware 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 Middletown 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. Middletown 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 Middletown compares with Delaware

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 Middletown adults…

34 of every 100 Middletown adults have high blood pressure
Delaware: 38 in 100 · better · margin 30.2–36.7%

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

Habits

Everyday habits, side by side with the state

Middletown, betterMiddletown, worseToo close to callDelaware
Get no exerciseshare of adults 23.6% Middletown
DE 27.2%
Sleep under 7 hoursshare of adults 36.3% Middletown
DE 35.7%
Binge drinkshare of adults 15.7% Middletown
DE 14.2%
Smoke cigarettesshare of adults 10.9% Middletown
DE 12.6%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

79%
Yearly checkup
DE 81%
65%
Dentist visit
DE 63%
88%
Cholesterol check
DE 88%
64%
Colon screening
DE 67%
79%
Mammogram
DE 79%
74%
Taking BP meds
DE 78%
1 in 13
working-age adults has no health insurance
Middletown 7.5% · Delaware 1 in 11 (9%)
Mind & connection

How Middletown adults are doing

1 in 3Middletown adults feel lonely
32% · Delaware 31.7% · too close to call
1 in 5Middletown adults have been diagnosed with depression
21.1% · Delaware 21.1% · too close to call
1 in 5Middletown adults lack social or emotional support
22.2% · Delaware 21.6% · too close to call
1 in 6Middletown adults are in frequent mental distress
15.5% · Delaware 15.4% · 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 8
Middletown adults worry about having enough food
13.1% · DE 13.9% · about the same
1 in 8
Middletown adults worry about keeping their housing
11.9% · DE 11.6% · about the same
1 in 13
Middletown adults were threatened with a utility shut-off
7.7% · DE 7.4% · about the same
1 in 13
Middletown adults lack reliable transportation
7.6% · DE 7.7% · about the same

10.7% of Middletown adults receive SNAP (food stamps), compared with 11.7% across Delaware.

Disability

Living with a disability

26.6%

of Middletown adults live with a disability (Delaware 30.6%). Thinking or memory is the most common.

Walking or climbing stairs12.1%
Thinking or memory12.4%
Hearing4.9%
Errands alone7%
Vision4.2%
Dressing or bathing3.2%

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

Getting care

Care in and near Middletown

No hospital or community health center in Middletown itself. These are the nearest.

HNearest ERChristiana HospitalNewark · 17.4 miDirections →
★Best rated nearbyUnion Hospital of Cecil County★★★★★ · 13 miDirections →
+Low-cost careWestside Family HealthcareBear · 11.5 mi · sliding-scale feesDirections →
11.5 mi
Westside Family Healthcare
3 sites · nearest in Bear
Sliding-scale fees
Directions to nearest
13 mi
Union Hospital of Cecil County
Elkton · ★★★★★
13.2 mi
West Cecil Health Center
2 sites · nearest in Elkton
Sliding-scale fees
Directions to nearest
17.4 mi
Christiana Hospital
Newark · ★★★★★
ER
19.9 mi
VA Maryland Healthcare System - Perry Point
Perry Point · not rated
VA
21.4 mi
Wilmington VA Medical Center
Wilmington · ★★★★★
ERVA
✓ Primary careMiddletown is not a shortage area
✓ Dental careMiddletown is not a shortage area
✓ Mental healthMiddletown 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 Middletown. Shortage areas: HRSA Health Professional Shortage Areas.

All 40 measures for Middletown
MeasureMiddletownMarginDelaware
Chronic conditions
High blood pressure33.5%30.2–36.7%38.1%better
High cholesterol36.6%33–40.1%41.2%better
Obesity33.3%27.7–38.8%35.3%about the same
Arthritis23.9%21.4–26.4%28.4%better
Depression21.1%18.1–24.1%21.1%about the same
Lost all teeth (65+)11.1%9.1–13.3%12.7%about the same
Asthma10.7%9.5–11.9%10.8%about the same
Cancer (not skin)7.4%6.8–8.1%9.1%better
Diabetes11.2%9.8–12.6%13.1%better
COPD5.3%4.6–5.9%7.1%better
Heart disease5.1%4.6–5.7%6.9%better
Stroke3.1%2.8–3.3%3.7%better
Habits
Smoke cigarettes10.9%9.2–12.5%12.6%better
Binge drink15.7%13.3–18.3%14.2%about the same
Get no exercise23.6%20.2–27.1%27.2%better
Sleep under 7 hours36.3%31.5–41.5%35.7%about the same
Care & screenings
Yearly checkup79.2%75.9–82.2%80.9%about the same
Dentist visit64.6%61–68%63.1%about the same
Cholesterol check88%86.4–89.6%87.9%about the same
Colon screening63.8%59.5–68%67.2%about the same
Mammogram79.2%73.7–84.1%78.5%about the same
Taking BP meds74.3%71.3–77%78.1%worse
No health insurance7.5%6.3–8.8%9%better
Mind & connection
Feel lonely32%28.2–35.8%31.7%about the same
Lack emotional support22.2%19.4–25.3%21.6%about the same
Frequent mental distress15.5%13.8–17.2%15.4%about the same
Fair or poor health16%14.1–18%18.8%better
Frequent physical distress11.4%10.2–12.7%13.3%better
Everyday needs
Food insecurity13.1%11.4–14.9%13.9%about the same
Housing insecurity11.9%10.4–13.6%11.6%about the same
Utility shut-off threat7.7%6.7–8.8%7.4%about the same
No reliable transportation7.6%6.7–8.5%7.7%about the same
Receive SNAP10.7%9–12.5%11.7%
Disability
Any disability26.6%23.5–29.9%30.6%
Walking or climbing stairs12.1%10.6–13.5%14.8%
Thinking or memory12.4%10.9–13.9%13%
Hearing4.9%4.3–5.5%6.7%
Vision4.2%3.8–4.6%4.9%
Dressing or bathing3.2%2.8–3.5%3.7%
Errands alone7%6.2–7.8%7.8%
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 Middletown door to door.
Close calls stay grayEvery figure has a margin of error. When the Delaware figure falls inside it, we don't call Middletown better or worse.
CDC's own town estimateCDC publishes Middletown directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The Delaware 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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