Health · China

China, MI health

China differs from Michigan on 10 of 40 measures. It has fewer adults facing a utility shut-off (5.9% vs 8.7%) and fewer adults facing food insecurity (10.5% vs 15.4%). Where it trails the state: more adults who have had cancer (11.5% vs 8.9%).

CDC PLACES 2025 · adults 18+ · ZIP code 48054 (all of China)
TownTapestry Health GradeNew

China’s Health Grade: B

On seven CDC health estimates for adults, China is healthier than 58% of U.S. towns and 72% of Michigan towns.

BSelf-rated healthC+Physical distressBMental distressBObesityB-DiabetesB-SmokingBExercise
All U.S. towns we grade (19,420)Healthier than 58%
Less healthyHealthier
Michigan towns we grade (1,267)Healthier than 72%
Towns with similar incomes, $74K–$124K (8,049)Healthier than 39%

Wealth explains part of the grade. China is healthier than 58% 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, China could be anywhere from C− 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 Michigan 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 China 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. China’s figures come from the ZIP codes that cover it, weighted by land area. 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 China compares with Michigan

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 China adults…

40 of every 100 China adults have high blood pressure
Michigan: 37 in 100 · too close to call · margin 35.8–44.1%

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

Habits

Everyday habits, side by side with the state

China, betterChina, worseToo close to callMichigan
Get no exerciseshare of adults 23.9% China
MI 24.9%
Sleep under 7 hoursshare of adults 33.8% China
MI 34.7%
Binge drinkshare of adults 15.1% China
MI 15.9%
Smoke cigarettesshare of adults 14.2% China
MI 14.6%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

82%
Yearly checkup
MI 80%
73%
Dentist visit
MI 68%
90%
Cholesterol check
MI 87%
73%
Colon screening
MI 69%
77%
Mammogram
MI 77%
81%
Taking BP meds
MI 78%
1 in 19
working-age adults has no health insurance
China 5.3% · Michigan 1 in 14 (6.9%)
Mind & connection

How China adults are doing

1 in 3China adults feel lonely
32.1% · Michigan 32.4% · too close to call
1 in 4China adults have been diagnosed with depression
26% · Michigan 25.7% · too close to call
1 in 5China adults lack social or emotional support
21.9% · Michigan 23.1% · too close to call
1 in 6China adults are in frequent mental distress
16.5% · Michigan 17.6% · 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 10
China adults worry about having enough food
10.5% · MI 15.4% · better
1 in 12
China adults worry about keeping their housing
8.3% · MI 11.9% · better
1 in 17
China adults were threatened with a utility shut-off
5.9% · MI 8.7% · better
1 in 17
China adults lack reliable transportation
5.9% · MI 8.3% · better

9% of China adults receive SNAP (food stamps), compared with 14.3% across Michigan.

Disability

Living with a disability

32.4%

of China adults live with a disability (Michigan 31.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs14.8%
Thinking or memory13.2%
Hearing8.5%
Errands alone7.8%
Vision4.3%
Dressing or bathing3.5%

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

Around China

China and the towns around it

Pick a measure to shade the map. Darker is worse for health. Pins are the nearest hospitals and community health centers.

East China: 34.4% Casco: 35.9% St. Clair: 34.5% St. Clair: 34.2% Marine City: 35.6% Cottrellville: 35.4% Richmond: 40.3% Ira: 35.4% Columbus: 33.6% Lenox: 39.3% Kimball: 36.2% Marysville: 34.8% Clay: 34.6% China: 34.4% China East China Casco St. Clair St. Clair Marine City Cottrellville Ascension River District Hospital · East China · 4.4 mi · 3★ MedicareH Lake Huron Medical Center · Port Huron · 15.3 mi · 4★ MedicareH Community First Health Centers - Algonac · Algonac · 11 mi+ Community First Health Centers - New Haven · New Haven · 12 mi+
33.6%40.3%· darker is worse for health

Obesity

#3 of 14towns on this map, healthiest first
St. Clair34.2%
China34.4%
East China34.4%
St. Clair34.5%
Cottrellville35.4%
Marine City35.6%
Casco35.9%

Care nearby

Ascension River District HospitalEast China · 4.4 mi · ★★★★★ · ER DirectionsMedicare profile
Lake Huron Medical CenterPort Huron · 15.3 mi · ★★★★★ · ER DirectionsMedicare profile
Mclaren Port HuronPort Huron · 16.3 mi · ★★★★★ · ER DirectionsMedicare profile
Mclaren MacombMount Clemens · 20.2 mi · ★★★★★ · ER DirectionsMedicare profile
Community First Health Centers - AlgonacAlgonac · 11 mi · community health center, sliding-scale fees Directions
Community First Health Centers - New HavenNew Haven · 12 mi · community health center, sliding-scale fees Directions
! Primary careChina's county is a federal shortage area for some residents.ME-St. Clair County · need score 14 of 25
! Dental careChina's county is a federal shortage area for some residents.ME-St. Clair County · need score 15 of 25
! Mental healthChina's county is a federal shortage area for some residents.Low-income residents, St. Clair County MHCA · need score 12 of 25

Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes). Hospitals: Medicare overall star ratings, 1–5. Distances are straight-line from the center of China. Nearby towns are shaded from CDC's estimates for their ZIP codes, or CDC's own figure for cities and villages.

All 40 measures for China
MeasureChinaMarginMichigan
Chronic conditions
High blood pressure39.7%35.8–44.1%36.7%about the same
High cholesterol37.8%33.9–42.3%35.4%about the same
Obesity34.4%28.4–41.6%36.2%about the same
Arthritis33.7%30.3–37.4%29.1%worse
Depression26%22.6–30%25.7%about the same
Lost all teeth (65+)8.9%7.2–10.9%10.2%about the same
Asthma11.3%10–12.7%11.5%about the same
Cancer (not skin)11.5%10.4–12.6%8.9%worse
Diabetes11.9%10.3–13.8%11.9%about the same
COPD8.6%7.4–10%8.1%about the same
Heart disease7.9%7–8.9%7%about the same
Stroke3.8%3.4–4.3%3.7%about the same
Habits
Smoke cigarettes14.2%11.8–16.9%14.6%about the same
Binge drink15.1%12.6–18.3%15.9%about the same
Get no exercise23.9%19.8–28.3%24.9%about the same
Sleep under 7 hours33.8%28.4–39.6%34.7%about the same
Care & screenings
Yearly checkup82.4%79.5–85.3%80.3%about the same
Dentist visit73%69.9–75.9%68%better
Cholesterol check90.1%88.6–91.4%87.4%better
Colon screening72.6%68.5–76.7%69%about the same
Mammogram77.1%70.2–83.1%76.9%about the same
Taking BP meds80.5%77.7–83.2%77.6%better
No health insurance5.3%4.3–6.5%6.9%better
Mind & connection
Feel lonely32.1%27.1–37.1%32.4%about the same
Lack emotional support21.9%18.5–25.6%23.1%about the same
Frequent mental distress16.5%14.6–18.7%17.6%about the same
Fair or poor health18.1%15.5–21.1%19.4%about the same
Frequent physical distress14.6%12.7–16.6%14%about the same
Everyday needs
Food insecurity10.5%8.4–12.7%15.4%better
Housing insecurity8.3%6.9–9.9%11.9%better
Utility shut-off threat5.9%5–6.9%8.7%better
No reliable transportation5.9%5–6.8%8.3%better
Receive SNAP9%7.1–11.1%14.3%
Disability
Any disability32.4%28.2–37.1%31.1%
Walking or climbing stairs14.8%12.6–17.2%14%
Thinking or memory13.2%11.5–15.1%14.3%
Hearing8.5%7.5–9.6%7.3%
Vision4.3%3.7–4.9%4.9%
Dressing or bathing3.5%3–4%3.8%
Errands alone7.8%6.8–9%8.6%
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 China door to door.
Close calls stay grayEvery figure has a margin of error. When the Michigan figure falls inside it, we don't call China better or worse.
Why a ZIP codeCDC publishes towns like China by ZIP code. We weight the ZIP codes that cover China by how much of its land each one covers.

CDC PLACES: Local Data for Better Health, 2025 release. The Michigan 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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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/15 · 2025-01-01