Health · Avoca

Avoca, IA health

Avoca differs from Iowa on 5 of 40 measures. It has fewer older adults who have lost all their teeth (5.9% vs 11.6%) and more adults treating high blood pressure (80.7% vs 77.8%). Where it trails the state: more adults who have had a stroke (3.9% vs 3.3%).

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

Avoca’s Health Grade: C+

On seven CDC health estimates for adults, Avoca is healthier than 44% of U.S. towns.

B-Self-rated healthB-Physical distressB-Mental distressC+ObesityB-DiabetesCSmokingC+Exercise
All U.S. towns we grade (19,420)Healthier than 44%
Less healthyHealthier
Iowa towns we grade (281)Healthier than 32%
Towns with similar incomes, $55K–$91K (9,792)Healthier than 49%

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

These are estimates. At the ends of CDC’s likely ranges, Avoca could be anywhere from D 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 Iowa 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 Avoca 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. Avoca 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 Avoca compares with Iowa

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 Avoca adults…

37 of every 100 Avoca adults have high blood pressure
Iowa: 34 in 100 · too close to call · margin 33.3–40.4%

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

Habits

Everyday habits, side by side with the state

Avoca, betterAvoca, worseToo close to callIowa
Get no exerciseshare of adults 27.8% Avoca
IA 24.8%
Sleep under 7 hoursshare of adults 34.8% Avoca
IA 32.5%
Binge drinkshare of adults 19.6% Avoca
IA 20.5%
Smoke cigarettesshare of adults 16.7% Avoca
IA 14.5%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

78%
Yearly checkup
IA 78%
63%
Dentist visit
IA 67%
85%
Cholesterol check
IA 84%
67%
Colon screening
IA 67%
78%
Mammogram
IA 79%
81%
Taking BP meds
IA 78%
1 in 14
working-age adults has no health insurance
Avoca 7.3% · Iowa 1 in 14 (7.3%)
Mind & connection

How Avoca adults are doing

1 in 3Avoca adults feel lonely
34.7% · Iowa 32.3% · too close to call
1 in 5Avoca adults have been diagnosed with depression
22% · Iowa 20.7% · too close to call
1 in 4Avoca adults lack social or emotional support
24.5% · Iowa 23.3% · too close to call
1 in 6Avoca adults are in frequent mental distress
16.9% · Iowa 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 8
Avoca adults worry about having enough food
13.2% · IA 12% · about the same
1 in 11
Avoca adults worry about keeping their housing
9.2% · IA 9.4% · about the same
1 in 16
Avoca adults were threatened with a utility shut-off
6.3% · IA 6.4% · about the same
1 in 14
Avoca adults lack reliable transportation
7.1% · IA 6.8% · about the same

10.9% of Avoca adults receive SNAP (food stamps), compared with 10% across Iowa.

Disability

Living with a disability

32.8%

of Avoca adults live with a disability (Iowa 28.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs15.6%
Thinking or memory14.5%
Hearing8.9%
Errands alone8.6%
Vision4.9%
Dressing or bathing3.9%

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

Getting care

Care in and near Avoca

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

HNearest ERMyrtue Medical CenterHarlan · 11.4 miDirections →
★Best rated nearbyCass County Memorial Hospital★★★★★ · 18.7 miDirections →
+Low-cost careAll Care Health CenterCouncil Bluffs · 30.9 mi · sliding-scale feesDirections →
11.4 mi
Myrtue Medical Center
Harlan · ★★★★★
ERRural critical access
18.7 mi
Cass County Memorial Hospital
Atlantic · ★★★★★
ERRural critical access
26.1 mi
Audubon County Memorial Hospital
Audubon · not rated
ERRural critical access
28.9 mi
Chi Health Missouri Valley
Missouri Valley · ★★★★★
ERRural critical access
30.9 mi
All Care Health Center
3 sites · nearest in Council Bluffs
Sliding-scale fees
Directions to nearest
✓ Primary careAvoca is not a shortage area
✓ Dental careAvoca is not a shortage area
✓ Mental healthAvoca 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 Avoca. Shortage areas: HRSA Health Professional Shortage Areas.

All 40 measures for Avoca
MeasureAvocaMarginIowa
Chronic conditions
High blood pressure36.8%33.3–40.4%33.9%about the same
High cholesterol38%34.2–41.5%35.3%about the same
Obesity38%32.6–43.2%37.7%about the same
Arthritis29.3%26.2–32.4%27%about the same
Depression22%18.9–25.2%20.7%about the same
Lost all teeth (65+)5.9%4.7–7.3%11.6%better
Asthma10.5%9.2–11.8%9.9%about the same
Cancer (not skin)10.1%9–11.1%8.7%worse
Diabetes12%10.3–13.9%11.2%about the same
COPD8.4%6.9–10.1%6.9%about the same
Heart disease7.7%6.6–8.9%6.6%about the same
Stroke3.9%3.4–4.5%3.3%worse
Habits
Smoke cigarettes16.7%13.5–20%14.5%about the same
Binge drink19.6%16.7–22.6%20.5%about the same
Get no exercise27.8%23.1–32.6%24.8%about the same
Sleep under 7 hours34.8%30–40%32.5%about the same
Care & screenings
Yearly checkup78.2%74.8–81.1%77.5%about the same
Dentist visit62.6%59.2–66.1%66.8%worse
Cholesterol check84.5%81.9–86.7%84.1%about the same
Colon screening67.1%62.5–71.5%66.6%about the same
Mammogram77.6%71–83.3%78.7%about the same
Taking BP meds80.7%78–83%77.8%better
No health insurance7.3%5.4–9.5%7.3%about the same
Mind & connection
Feel lonely34.7%30.2–39.3%32.3%about the same
Lack emotional support24.5%20.8–28.4%23.3%about the same
Frequent mental distress16.9%14.7–19.1%16.4%about the same
Fair or poor health19.3%16.1–22.8%17.8%about the same
Frequent physical distress14%11.9–16.1%12.7%about the same
Everyday needs
Food insecurity13.2%10.3–16.2%12%about the same
Housing insecurity9.2%7.4–11.1%9.4%about the same
Utility shut-off threat6.3%5.2–7.5%6.4%about the same
No reliable transportation7.1%5.8–8.3%6.8%about the same
Receive SNAP10.9%8.4–13.6%10%
Disability
Any disability32.8%28.3–37.4%28.1%
Walking or climbing stairs15.6%13–18.4%12.7%
Thinking or memory14.5%12.1–16.9%13.5%
Hearing8.9%7.7–10.1%7.4%
Vision4.9%4.1–5.7%4.3%
Dressing or bathing3.9%3.3–4.7%3.4%
Errands alone8.6%7.2–10.1%7.4%
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 Avoca door to door.
Close calls stay grayEvery figure has a margin of error. When the Iowa figure falls inside it, we don't call Avoca better or worse.
CDC's own town estimateCDC publishes Avoca directly, so these are its own figures.

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