Health · Vandalia

Vandalia, MO health

Vandalia differs from Missouri on 14 of 40 measures. It has fewer adults who have had cancer (7% vs 8.6%) and fewer adults with heart disease (5.8% vs 6.8%). Where it trails the state: more older adults who have lost all their teeth (22.7% vs 15.8%).

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

Vandalia’s Health Grade: C−

On seven CDC health estimates for adults, Vandalia is healthier than 18% of U.S. towns, and than 44% of towns with similar incomes.

C-Self-rated healthC-Physical distressD-Mental distressC-ObesityB+DiabetesDSmokingDExercise
All U.S. towns we grade (19,420)Healthier than 18%
Less healthyHealthier
Missouri towns we grade (428)Healthier than 43%
Towns with similar incomes, $38K–$63K (5,456)Healthier than 44%

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

These are estimates. At the ends of CDC’s likely ranges, Vandalia could be anywhere from D to B−.
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 Vandalia 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. Vandalia 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 Vandalia 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 Vandalia adults…

33 of every 100 Vandalia adults have high blood pressure
Missouri: 37 in 100 · too close to call · margin 28.5–36.6%

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

Habits

Everyday habits, side by side with the state

Vandalia, betterVandalia, worseToo close to callMissouri
Get no exerciseshare of adults 33.7% Vandalia
MO 28.8%
Sleep under 7 hoursshare of adults 41.6% Vandalia
MO 36.5%
Binge drinkshare of adults 16% Vandalia
MO 16.3%
Smoke cigarettesshare of adults 20.2% Vandalia
MO 16%
0%10%20%30%40%50%
Care & screenings

Keeping up with care

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

77%
Yearly checkup
MO 78%
54%
Dentist visit
MO 60%
82%
Cholesterol check
MO 85%
60%
Colon screening
MO 64%
74%
Mammogram
MO 75%
74%
Taking BP meds
MO 77%
1 in 10
working-age adults has no health insurance
Vandalia 10.4% · Missouri 1 in 11 (8.7%)
Mind & connection

How Vandalia adults are doing

1 in 3Vandalia adults feel lonely
35.5% · Missouri 31.7% · too close to call
1 in 3Vandalia adults have been diagnosed with depression
29.9% · Missouri 24.3% · worse
1 in 5Vandalia adults lack social or emotional support
21.9% · Missouri 20.1% · too close to call
1 in 4Vandalia adults are in frequent mental distress
22.7% · Missouri 17.5% · worse
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 5
Vandalia adults worry about having enough food
19.1% · MO 13.7% · worse
1 in 6
Vandalia adults worry about keeping their housing
16.6% · MO 12.1% · worse
1 in 8
Vandalia adults were threatened with a utility shut-off
11.8% · MO 9% · worse
1 in 9
Vandalia adults lack reliable transportation
10.9% · MO 8.4% · worse

16.4% of Vandalia adults receive SNAP (food stamps), compared with 10.8% across Missouri.

Disability

Living with a disability

39.1%

of Vandalia adults live with a disability (Missouri 36.2%). Thinking or memory is the most common.

Walking or climbing stairs16%
Thinking or memory22.2%
Hearing7.3%
Errands alone11.7%
Vision5.7%
Dressing or bathing4.2%

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

Getting care

Care in and near Vandalia

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

HNearest ERPike County Memorial HospitalLouisiana · 24.5 miDirections →
★Best rated nearbyIllini Community Hospital★★★★★ · 41.5 miDirections →
+Low-cost carePreferred Family Healthcare, IncorporatedBowling Green · 18.5 mi · sliding-scale feesDirections →
18.5 mi
Preferred Family Healthcare, Incorporated
5 sites · nearest in Bowling Green
Sliding-scale fees
Directions to nearest
23.9 mi
East Central Missouri Behavioral Health Services
2 sites · nearest in Montgomery City
Sliding-scale fees
Directions to nearest
24.5 mi
Pike County Memorial Hospital
Louisiana · not rated
ERRural critical access
26.5 mi
Hannibal Regional Hospital
Hannibal · ★★★★★
ER
35.3 mi
Mercy Hospital Lincoln
Troy · not rated
ERRural critical access
41.5 mi
Illini Community Hospital
Pittsfield · ★★★★★
ERRural critical access
! Primary careVandalia's county is a federal shortage area for some residents.Low-income residents, Ralls and Monroe Counties · need score 18 of 25
! Dental careVandalia's county is a federal shortage area for some residents.Low-income residents, Callaway and Audrain Counties · need score 16 of 25
! Mental healthVandalia's county is a federal shortage area for some residents.Low-income residents, MHCA 15 · need score 16 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 Vandalia. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Vandalia
MeasureVandaliaMarginMissouri
Chronic conditions
High blood pressure32.5%28.5–36.6%36.5%about the same
High cholesterol32.2%28–36.2%37.5%better
Obesity39.7%31.6–48.1%36.6%about the same
Arthritis27.3%24–30.7%28.8%about the same
Depression29.9%25.4–34.5%24.3%worse
Lost all teeth (65+)22.7%18.8–27.2%15.8%worse
Asthma12.8%11.1–14.4%10.6%worse
Cancer (not skin)7%6.3–7.8%8.6%better
Diabetes10.8%9.2–12.4%12.1%about the same
COPD8.7%7.4–10.2%8%about the same
Heart disease5.8%5.1–6.6%6.8%better
Stroke3.4%3–3.8%3.6%about the same
Habits
Smoke cigarettes20.2%16.5–24.3%16%worse
Binge drink16%13–19.3%16.3%about the same
Get no exercise33.7%27.9–40%28.8%about the same
Sleep under 7 hours41.6%34.7–49%36.5%about the same
Care & screenings
Yearly checkup77.3%73.3–81%78.4%about the same
Dentist visit54.3%50.4–58.4%60.4%worse
Cholesterol check81.5%78.5–84.5%84.5%about the same
Colon screening60.4%54.9–65.8%64%about the same
Mammogram74%65.7–81.4%74.7%about the same
Taking BP meds74%70.9–76.9%77.2%worse
No health insurance10.4%7.9–13.5%8.7%about the same
Mind & connection
Feel lonely35.5%30.2–41%31.7%about the same
Lack emotional support21.9%18.4–25.7%20.1%about the same
Frequent mental distress22.7%19.8–25.6%17.5%worse
Fair or poor health23.3%19.4–27.4%20.5%about the same
Frequent physical distress16%13.7–18.4%14.2%about the same
Everyday needs
Food insecurity19.1%15.3–23.3%13.7%worse
Housing insecurity16.6%13.6–19.6%12.1%worse
Utility shut-off threat11.8%9.9–13.7%9%worse
No reliable transportation10.9%9.2–12.8%8.4%worse
Receive SNAP16.4%13.1–20.3%10.8%
Disability
Any disability39.1%33.5–45%36.2%
Walking or climbing stairs16%13.6–18.7%15.8%
Thinking or memory22.2%19–25.8%17.2%
Hearing7.3%6.4–8.1%8.3%
Vision5.7%4.9–6.5%5.1%
Dressing or bathing4.2%3.6–4.9%3.9%
Errands alone11.7%9.9–13.7%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 Vandalia door to door.
Close calls stay grayEvery figure has a margin of error. When the Missouri figure falls inside it, we don't call Vandalia better or worse.
CDC's own town estimateCDC publishes Vandalia 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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