Health · Bristol

Bristol, VA health

Bristol differs from Virginia on 19 of 40 measures. Where it trails the state most: more older adults who have lost all their teeth (19.7% vs 11.1%) and more adults with COPD (10.5% vs 6.2%).

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

Bristol’s Health Grade: D

On seven CDC health estimates for adults, Bristol is healthier than 15% of U.S. towns, and than 36% of towns with similar incomes.

C-Self-rated healthDPhysical distressC-Mental distressCObesityC-DiabetesC-SmokingC-Exercise
All U.S. towns we grade (19,420)Healthier than 15%
Less healthyHealthier
Virginia towns we grade (374)Healthier than 14%
Towns with similar incomes, $38K–$63K (5,456)Healthier than 36%

Better than its income would suggest. Bristol 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, Bristol 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 Virginia 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 Bristol 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. Bristol 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 Bristol compares with Virginia

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 Bristol adults…

41 of every 100 Bristol adults have high blood pressure
Virginia: 35 in 100 · worse · margin 36.6–45.5%

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

Habits

Everyday habits, side by side with the state

Bristol, betterBristol, worseToo close to callVirginia
Get no exerciseshare of adults 30.3% Bristol
VA 23.8%
Sleep under 7 hoursshare of adults 36.5% Bristol
VA 36%
Binge drinkshare of adults 13.7% Bristol
VA 14.5%
Smoke cigarettesshare of adults 18.1% Bristol
VA 12.2%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

80%
Yearly checkup
VA 79%
61%
Dentist visit
VA 68%
86%
Cholesterol check
VA 88%
65%
Colon screening
VA 67%
73%
Mammogram
VA 79%
79%
Taking BP meds
VA 77%
1 in 10
working-age adults has no health insurance
Bristol 10% · Virginia 1 in 11 (8.7%)
Mind & connection

How Bristol adults are doing

1 in 3Bristol adults feel lonely
33.1% · Virginia 33.8% · too close to call
1 in 4Bristol adults have been diagnosed with depression
26.1% · Virginia 21.8% · worse
1 in 5Bristol adults lack social or emotional support
20.9% · Virginia 21.6% · too close to call
1 in 5Bristol adults are in frequent mental distress
18.8% · Virginia 15.9% · 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 6
Bristol adults worry about having enough food
17.1% · VA 13.1% · worse
1 in 8
Bristol adults worry about keeping their housing
12.3% · VA 10.9% · about the same
1 in 11
Bristol adults were threatened with a utility shut-off
9% · VA 7.1% · worse
1 in 11
Bristol adults lack reliable transportation
9.4% · VA 7.4% · worse

17.1% of Bristol adults receive SNAP (food stamps), compared with 10.7% across Virginia.

Disability

Living with a disability

39%

of Bristol adults live with a disability (Virginia 30%). Walking or climbing stairs is the most common.

Walking or climbing stairs19.7%
Thinking or memory18.1%
Hearing9.4%
Errands alone11.2%
Vision6.7%
Dressing or bathing5.2%

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

Around Bristol

Bristol 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 Bristol.

Bristol: 37.8% Walnut Hill: 35.2% Blountville: 38.8% Bluff City: 36.9% Bristol: 39.4% Bristol Bristol Bristol Community Health Center · Bristol · 3.2 mi+ Bluff City Medical Center · Bluff City · 13.2 mi+
35.2%39.4%· darker is worse for health

Obesity

#5 of 5towns on this map, healthiest first
Bristol37.8%
Bristol39.4%
6 places to get careNearest ER 5.9 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 Bristol

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

HNearest ERWellmont Bristol Regional Medical CenterBristol · 5.9 miDirections →
★Best rated nearbyRussell County Hospital★★★★★ · 19.9 miDirections →
+Low-cost careSouthwest Virginia Community HealthBristol · 3.2 mi · sliding-scale feesDirections →
3.2 mi
Southwest Virginia Community Health
2 sites · nearest in Bristol
Sliding-scale feesIn Bristol
Directions to nearest
5.9 mi
Wellmont Bristol Regional Medical Center
Bristol · ★★★★★
ER
11.5 mi
Johnston Memorial Hospital
Abingdon · ★★★★★
ER
13.2 mi
Rural Health Services Consortium
4 sites · nearest in Bluff City
Sliding-scale fees
Directions to nearest
19.5 mi
Sycamore Shoals Hospital
Elizabethton · ★★★★★
ER
19.9 mi
Russell County Hospital
Lebanon · ★★★★★
ER
! Primary careBristol's county is a federal shortage area for some residents.Low-income residents, Washington County/Bristol City · need score 14 of 25
! Dental careBristol's county is a federal shortage area for some residents.Low-income residents, Washington County/Bristol City · need score 13 of 25
! Mental healthBristol's county is a federal shortage area for some residents.Low-income residents, Highlands Service Area · need score 15 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 Bristol. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Bristol
MeasureBristolMarginVirginia
Chronic conditions
High blood pressure41%36.6–45.5%35.4%worse
High cholesterol41.2%36.6–45.9%38%about the same
Obesity39.4%30.9–48.5%34.5%about the same
Arthritis33.7%30–37.4%26.2%worse
Depression26.1%22.3–30.2%21.8%worse
Lost all teeth (65+)19.7%16.6–23%11.1%worse
Asthma11.5%10.2–13%10.4%about the same
Cancer (not skin)9.8%8.9–10.8%7.7%worse
Diabetes15%13.1–17.1%12.5%worse
COPD10.5%9.3–11.7%6.2%worse
Heart disease8.8%7.8–9.7%6.1%worse
Stroke4.6%4.2–5%3.3%worse
Habits
Smoke cigarettes18.1%15.6–20.8%12.2%worse
Binge drink13.7%11.1–16.5%14.5%about the same
Get no exercise30.3%25.5–35.1%23.8%worse
Sleep under 7 hours36.5%29.8–43.5%36%about the same
Care & screenings
Yearly checkup79.5%75.9–82.8%79.2%about the same
Dentist visit61.2%57.6–64.6%67.9%worse
Cholesterol check85.7%83.9–87.4%87.5%worse
Colon screening65%60–69.8%67.4%about the same
Mammogram73.4%65.2–80.4%78.6%about the same
Taking BP meds79.4%76.6–81.8%76.8%about the same
No health insurance10%8.4–11.7%8.7%about the same
Mind & connection
Feel lonely33.1%27.9–38.7%33.8%about the same
Lack emotional support20.9%17.7–24.4%21.6%about the same
Frequent mental distress18.8%16.6–21.1%15.9%worse
Fair or poor health24.3%21.3–27.4%18.1%worse
Frequent physical distress17.1%15.1–19.1%12.8%worse
Everyday needs
Food insecurity17.1%14.7–19.7%13.1%worse
Housing insecurity12.3%10.6–14.2%10.9%about the same
Utility shut-off threat9%7.8–10.4%7.1%worse
No reliable transportation9.4%8.3–10.6%7.4%worse
Receive SNAP17.1%14.8–19.7%10.7%
Disability
Any disability39%34.3–43.7%30%
Walking or climbing stairs19.7%17.3–22%13.5%
Thinking or memory18.1%16.1–20.4%14%
Hearing9.4%8.3–10.5%6.4%
Vision6.7%6.1–7.4%4.7%
Dressing or bathing5.2%4.7–5.7%3.5%
Errands alone11.2%10–12.6%7.7%
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 Bristol door to door.
Close calls stay grayEvery figure has a margin of error. When the Virginia figure falls inside it, we don't call Bristol better or worse.
CDC's own town estimateCDC publishes Bristol directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The Virginia 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/18 · 2025-01-01