Health · Twin

Twin, OH health

Twin differs from Ohio on 5 of 40 measures. It has fewer adults facing a utility shut-off (6.8% vs 8.3%) and fewer adults facing food insecurity (11.8% vs 14.1%). Where it trails the state: more adults who have had cancer (9.9% vs 8.7%).

CDC PLACES 2025 · adults 18+ · ZIP codes 45304, 45382
TownTapestry Health GradeNew

Twin’s Health Grade: C+

On seven CDC health estimates for adults, Twin is healthier than 37% of U.S. towns and 56% of Ohio towns.

B-Self-rated healthC+Physical distressC+Mental distressB-ObesityCDiabetesCSmokingC+Exercise
All U.S. towns we grade (19,420)Healthier than 37%
Less healthyHealthier
Ohio towns we grade (1,692)Healthier than 56%
Towns with similar incomes, $55K–$91K (9,792)Healthier than 40%

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

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

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 Twin adults…

38 of every 100 Twin adults have high blood pressure
Ohio: 37 in 100 · too close to call · margin 34–42.5%

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

Habits

Everyday habits, side by side with the state

Twin, betterTwin, worseToo close to callOhio
Get no exerciseshare of adults 28% Twin
OH 26.9%
Sleep under 7 hoursshare of adults 34% Twin
OH 37.9%
Binge drinkshare of adults 16.7% Twin
OH 16.6%
Smoke cigarettesshare of adults 16.8% Twin
OH 15.4%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

80%
Yearly checkup
OH 80%
63%
Dentist visit
OH 63%
86%
Cholesterol check
OH 86%
63%
Colon screening
OH 65%
73%
Mammogram
OH 76%
80%
Taking BP meds
OH 79%
1 in 14
working-age adults has no health insurance
Twin 7.3% · Ohio 1 in 13 (8%)
Mind & connection

How Twin adults are doing

1 in 3Twin adults feel lonely
34.2% · Ohio 35% · too close to call
1 in 4Twin adults have been diagnosed with depression
26.5% · Ohio 25.4% · too close to call
1 in 5Twin adults lack social or emotional support
20.9% · Ohio 21.3% · too close to call
1 in 6Twin adults are in frequent mental distress
17.9% · Ohio 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 8
Twin adults worry about having enough food
11.8% · OH 14.1% · better
1 in 11
Twin adults worry about keeping their housing
9.5% · OH 11.3% · better
1 in 15
Twin adults were threatened with a utility shut-off
6.8% · OH 8.3% · better
1 in 15
Twin adults lack reliable transportation
6.6% · OH 7.7% · better

9.6% of Twin adults receive SNAP (food stamps), compared with 11.7% across Ohio.

Disability

Living with a disability

30.5%

of Twin adults live with a disability (Ohio 29.5%). Thinking or memory is the most common.

Walking or climbing stairs14.1%
Thinking or memory14.3%
Hearing7.5%
Errands alone8.1%
Vision4.5%
Dressing or bathing3.7%

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

Around Twin

Twin and the towns around it

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

Monroe: 35.2% Gordon: 35.3% Butler: 36.4% Van Buren: 36.7% Harrison: 39.5% Union: 34.8% Monroe: 39% Harrison: 38% Neave: 37.4% Greenville: 37.6% Franklin: 35.7% Adams: 35.8% Twin: 39.3% Clay: 34.2% Twin: 36% Twin Monroe Gordon Butler Van Buren Harrison Wayne Hospital · Greenville · 9.6 miH Arcanum · Arcanum · 2.2 mi+
34.2%39.5%· darker is worse for health

Obesity

#7 of 15towns on this map, healthiest first
Monroe35.2%
Gordon35.3%
Twin36%
Butler36.4%
Van Buren36.7%
Harrison39.5%
6 places to get careNearest ER 9.6 mi

Nearby towns are shaded from CDC's estimates for their ZIP codes, or CDC's own figure for cities and villages.

Getting care

Care in and near Twin

1 community health center in Twin, plus the nearest just outside it.

HNearest ERWayne HospitalGreenville · 9.6 miDirections →
★Best rated nearbyKettering Health Troy★★★★★ · 18.4 miDirections →
+Low-cost careFamily Health Services of Darke CountyArcanum · 2.2 mi · sliding-scale feesDirections →
2.2 mi
Family Health Services of Darke County
5 sites · nearest in Arcanum
Sliding-scale feesIn Twin
Directions to nearest
9.6 mi
Wayne Hospital
Greenville · not rated
ERRural critical access
18.4 mi
Kettering Health Troy
Troy · ★★★★★
ER
19 mi
Upper Valley Medical Center
Troy · ★★★★★
ER
19.6 mi
Reid Health
Richmond · ★★★★★
ER
19.6 mi
Meridian Health Services - Richmond
Richmond · community health center
Sliding-scale fees
! Primary careTwin's county is a federal shortage area for some residents.Low-income residents, Darke County · need score 11 of 25
! Dental careTwin's county is a federal shortage area for some residents.Low-income residents, Darke County · need score 13 of 25
! Mental healthTwin's county is a federal shortage area.Darke-Miami-Shelby MHCA · 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 Twin. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Twin
MeasureTwinMarginOhio
Chronic conditions
High blood pressure38.3%34–42.5%37.2%about the same
High cholesterol39.1%34.7–43.5%36.7%about the same
Obesity36%28.6–43.9%37.1%about the same
Arthritis31.9%28.6–35.4%29.8%about the same
Depression26.5%22.8–30.4%25.4%about the same
Lost all teeth (65+)14.6%12.1–17.6%15.3%about the same
Asthma11%9.7–12.3%11.1%about the same
Cancer (not skin)9.9%8.9–10.8%8.7%worse
Diabetes13.3%11.5–15.2%13.2%about the same
COPD8.8%7.8–9.9%8%about the same
Heart disease7.7%6.9–8.6%7.1%about the same
Stroke3.7%3.4–4%3.7%about the same
Habits
Smoke cigarettes16.8%14.3–19.4%15.4%about the same
Binge drink16.7%13.8–19.8%16.6%about the same
Get no exercise28%23.3–32.8%26.9%about the same
Sleep under 7 hours34%28.5–39.9%37.9%about the same
Care & screenings
Yearly checkup79.6%76.3–82.6%79.9%about the same
Dentist visit62.8%59.6–66.3%62.9%about the same
Cholesterol check86.4%84.7–88%86.1%about the same
Colon screening63.2%58.6–67.7%65.2%about the same
Mammogram73.4%66.2–80.2%76%about the same
Taking BP meds80.4%77.8–82.7%79.2%about the same
No health insurance7.3%6.1–8.8%8%about the same
Mind & connection
Feel lonely34.2%28.7–39.8%35%about the same
Lack emotional support20.9%17.5–24.4%21.3%about the same
Frequent mental distress17.9%15.8–20%17.5%about the same
Fair or poor health19.6%16.9–22.5%19.4%about the same
Frequent physical distress14.7%12.9–16.6%13.9%about the same
Everyday needs
Food insecurity11.8%9.7–14%14.1%better
Housing insecurity9.5%8–11%11.3%better
Utility shut-off threat6.8%5.8–7.9%8.3%better
No reliable transportation6.6%5.7–7.6%7.7%better
Receive SNAP9.6%7.9–11.4%11.7%
Disability
Any disability30.5%26.3–34.9%29.5%
Walking or climbing stairs14.1%12.2–16.1%13.9%
Thinking or memory14.3%12.6–16.2%13.9%
Hearing7.5%6.6–8.3%6.8%
Vision4.5%4–4.9%4.8%
Dressing or bathing3.7%3.3–4.1%3.8%
Errands alone8.1%7.1–9.1%8.1%
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 Twin door to door.
Close calls stay grayEvery figure has a margin of error. When the Ohio figure falls inside it, we don't call Twin better or worse.
Why a ZIP codeCDC publishes towns like Twin by ZIP code. We weight the ZIP codes that cover Twin by how much of its land each one covers.

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