Health · Charleston

Charleston, MO health

Charleston differs from Missouri on 21 of 40 measures. It has fewer adults who have had cancer (6.9% vs 8.6%). Where it trails the state: more adults facing food insecurity (28% vs 13.7%).

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

Charleston’s Health Grade: D−

On seven CDC health estimates for adults, Charleston is healthier than 3% of U.S. towns, and than 29% of towns with similar incomes.

DSelf-rated healthDPhysical distressC-Mental distressD-ObesityDDiabetesD-SmokingD-Exercise
All U.S. towns we grade (19,420)Healthier than 3%
Less healthyHealthier
Missouri towns we grade (428)Healthier than 9%
Towns with similar incomes, $25K–$42K (1,056)Healthier than 29%

Better than its income would suggest. Charleston is healthier than most towns with similar incomes, even though its overall grade is D−.

These are estimates. At the ends of CDC’s likely ranges, Charleston could be anywhere from D− to D.
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 Missouri 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 Charleston 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. Charleston 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 Charleston compares with Missouri

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 Charleston adults…

47 of every 100 Charleston adults have high blood pressure
Missouri: 37 in 100 · worse · margin 42.6–51.2%

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

Habits

Everyday habits, side by side with the state

Charleston, betterCharleston, worseToo close to callMissouri
Get no exerciseshare of adults 41.6% Charleston
MO 28.8%
Sleep under 7 hoursshare of adults 47.6% Charleston
MO 36.5%
Binge drinkshare of adults 13.6% Charleston
MO 16.3%
Smoke cigarettesshare of adults 23.3% Charleston
MO 16%
0%10%20%30%40%50%
Care & screenings

Keeping up with care

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

80%
Yearly checkup
MO 78%
43%
Dentist visit
MO 60%
82%
Cholesterol check
MO 85%
60%
Colon screening
MO 64%
70%
Mammogram
MO 75%
78%
Taking BP meds
MO 77%
1 in 8
working-age adults has no health insurance
Charleston 13.2% · Missouri 1 in 11 (8.7%)
Mind & connection

How Charleston adults are doing

1 in 3Charleston adults feel lonely
36% · Missouri 31.7% · too close to call
1 in 5Charleston adults have been diagnosed with depression
21.6% · Missouri 24.3% · too close to call
1 in 4Charleston adults lack social or emotional support
27.2% · Missouri 20.1% · worse
1 in 5Charleston adults are in frequent mental distress
19.1% · Missouri 17.5% · 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 4
Charleston adults worry about having enough food
28% · MO 13.7% · worse
1 in 4
Charleston adults worry about keeping their housing
22.7% · MO 12.1% · worse
1 in 6
Charleston adults were threatened with a utility shut-off
18% · MO 9% · worse
1 in 7
Charleston adults lack reliable transportation
15.2% · MO 8.4% · worse

26.1% of Charleston adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Disability

Living with a disability

45%

of Charleston adults live with a disability (Missouri 36.2%). Walking or climbing stairs is the most common.

Walking or climbing stairs22.7%
Thinking or memory21.3%
Hearing9%
Errands alone13%
Vision8.7%
Dressing or bathing6.8%

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

Getting care

Care in and near Charleston

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

HNearest ERMissouri Delta Medical CenterSikeston · 14 miDirections →
★Best rated nearbySaint Francis Medical Center★★★★★ · 29.7 miDirections →
+Low-cost careSoutheast Missouri Health NetworkEast Prairie · 9.6 mi · sliding-scale feesDirections →
9.6 mi
Southeast Missouri Health Network
4 sites · nearest in East Prairie
Sliding-scale fees
Directions to nearest
11.4 mi
Community Health & Emergency Services
2 sites · nearest in Cairo
Sliding-scale fees
Directions to nearest
14 mi
Missouri Delta Medical Center
Sikeston · ★★★★★
ER
29.6 mi
Mercy Hospital Southeast
Cape Girardeau · ★★★★★
ER
29.7 mi
Saint Francis Medical Center
Cape Girardeau · ★★★★★
ER
36 mi
Mercy Hospital Stoddard
Dexter · ★★★★★
ER
! Primary careCharleston's county is a federal shortage area for some residents.Low-income residents, Mississippi County · need score 20 of 25
! Dental careCharleston's county is a federal shortage area for some residents.Low-income residents, Mississippi County · need score 19 of 25
! Mental healthCharleston's county is a federal shortage area.Sikeston MHCA #20 · need score 18 of 25

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 Charleston. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Charleston
MeasureCharlestonMarginMissouri
Chronic conditions
High blood pressure46.9%42.6–51.2%36.5%worse
High cholesterol37.6%33.5–41.9%37.5%about the same
Obesity50.6%43–58.4%36.6%worse
Arthritis32.1%28.7–35.5%28.8%about the same
Depression21.6%18.4–25%24.3%about the same
Lost all teeth (65+)29.5%24.9–34.2%15.8%worse
Asthma11.4%10.1–12.8%10.6%about the same
Cancer (not skin)6.9%6.2–7.6%8.6%better
Diabetes18.1%15.9–20.4%12.1%worse
COPD11.1%9.6–12.5%8%worse
Heart disease8.8%7.8–9.8%6.8%worse
Stroke5.4%4.8–5.9%3.6%worse
Habits
Smoke cigarettes23.3%20–26.6%16%worse
Binge drink13.6%11–16.3%16.3%about the same
Get no exercise41.6%36.4–47.2%28.8%worse
Sleep under 7 hours47.6%40.3–54.5%36.5%worse
Care & screenings
Yearly checkup79.6%76–82.8%78.4%about the same
Dentist visit42.5%38.4–46.2%60.4%worse
Cholesterol check81.7%79.2–84%84.5%worse
Colon screening59.9%54.2–65%64%about the same
Mammogram70.4%61.6–78%74.7%about the same
Taking BP meds78.1%75.3–80.7%77.2%about the same
No health insurance13.2%10.8–15.8%8.7%worse
Mind & connection
Feel lonely36%30.7–41.7%31.7%about the same
Lack emotional support27.2%23.3–31.4%20.1%worse
Frequent mental distress19.1%17–21.5%17.5%about the same
Fair or poor health31.4%27.6–35.2%20.5%worse
Frequent physical distress17.7%15.6–19.9%14.2%worse
Everyday needs
Food insecurity28%24.1–31.9%13.7%worse
Housing insecurity22.7%19.7–25.8%12.1%worse
Utility shut-off threat18%15.8–20.3%9%worse
No reliable transportation15.2%13.3–17.2%8.4%worse
Receive SNAP26.1%22.6–29.7%10.8%
Disability
Any disability45%40–50%36.2%
Walking or climbing stairs22.7%20–25.5%15.8%
Thinking or memory21.3%18.8–23.9%17.2%
Hearing9%8–10.1%8.3%
Vision8.7%7.7–9.7%5.1%
Dressing or bathing6.8%6–7.6%3.9%
Errands alone13%11.4–14.6%9.2%
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 Charleston door to door.
Close calls stay grayEvery figure has a margin of error. When the Missouri figure falls inside it, we don't call Charleston better or worse.
CDC's own town estimateCDC publishes Charleston directly, so these are its own figures.

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