Health · Middletown
Middletown, VA health
On most measures Middletown looks like Virginia as a whole. Where it trails the state most: fewer adults seeing a dentist (62% vs 67.9%).
CDC PLACES 2025 · adults 18+ · CDC's estimate for MiddletownTownTapestry Health GradeNew
B−
Middletown’s Health Grade: B−
On seven CDC health estimates for adults, Middletown is healthier than 46% of U.S. towns, and than 71% of towns with similar incomes.
B-Self-rated healthB-Physical distressCMental distressCObesityBDiabetesB-SmokingB-Exercise
All U.S. towns we grade (19,420)Healthier than 46%
Less healthyHealthier
Virginia towns we grade (374)Healthier than 41%
Towns with similar incomes, $45K–$75K (8,212)Healthier than 71%
Better than its income would suggest. Middletown is healthier than most towns with similar incomes, even though its overall grade is B−.
These are estimates. At the ends of CDC’s likely ranges, Middletown could be anywhere from D 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 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 Middletown 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. Middletown 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 Middletown 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
39.1% have obesity
0 better12 close0 worse
Habits
25.3% get no exercise
0 better4 close0 worse
Care & screenings
77.8% had a checkup
0 better6 close1 worse
Mind & connection
33.5% feel lonely
0 better5 close0 worse
Everyday needs
13.3% face food insecurity
0 better5 close0 worse
Disability
31.1% have a disability
7 measures · shown without a better/worse judgment
Chronic conditions
Out of every 100 Middletown adults…
34 of every 100 Middletown adults have high blood pressure
Virginia: 35 in 100 · too close to call · margin 30.4–38.5%
Bars show Middletown; the black tick is Virginia. Tap a condition to see it as people.
Habits
Everyday habits, side by side with the state
Middletown, betterMiddletown, worseToo close to callVirginia
Get no exerciseshare of adults
25.3% Middletown
VA 23.8%
VA 23.8%
Sleep under 7 hoursshare of adults
37.6% Middletown
VA 36%
VA 36%
Binge drinkshare of adults
15.6% Middletown
VA 14.5%
VA 14.5%
Smoke cigarettesshare of adults
14.9% Middletown
VA 12.2%
VA 12.2%
0%10%20%30%40%
Care & screenings
Keeping up with care
Share of Middletown adults getting routine care. The full ring is 100%; the dark tick marks Virginia.
Yearly checkup
VA 79%Dentist visit
VA 68%Cholesterol check
VA 88%Colon screening
VA 67%Mammogram
VA 79%Taking BP meds
VA 77%1 in 11
working-age adults has no health insurance
Middletown 9.5% · Virginia 1 in 11 (8.7%)
Mind & connection
How Middletown adults are doing
1 in 3Middletown adults feel lonely
33.5% · Virginia 33.8% · too close to call
1 in 4Middletown adults have been diagnosed with depression
24.2% · Virginia 21.8% · too close to call
1 in 5Middletown adults lack social or emotional support
21.8% · Virginia 21.6% · too close to call
1 in 6Middletown adults are in frequent mental distress
18.1% · Virginia 15.9% · 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
Middletown adults worry about having enough food
13.3% · VA 13.1% · about the same
1 in 9
Middletown adults worry about keeping their housing
10.9% · VA 10.9% · about the same
1 in 14
Middletown adults were threatened with a utility shut-off
7% · VA 7.1% · about the same
1 in 13
Middletown adults lack reliable transportation
7.5% · VA 7.4% · about the same
11% of Middletown adults receive SNAP (food stamps), compared with 10.7% across Virginia.
Disability
Living with a disability
31.1%
of Middletown adults live with a disability (Virginia 30%). Thinking or memory is the most common.
Walking or climbing stairs14.1%
Thinking or memory16.2%
Hearing6.9%
Errands alone8.6%
Vision4.8%
Dressing or bathing3.6%
Black tick: Virginia. Shown without a better/worse judgment.
Getting care
Care in and near Middletown
No hospital or community health center in Middletown itself. These are the nearest.
HNearest ERWarren Memorial HospitalFront Royal · 8.7 miDirections →
+Low-cost careShenandoah Valley Medical SystemWinchester · 12.3 mi · sliding-scale feesDirections →
12.3 mi
Shenandoah Valley Medical System
4 sites · nearest in Winchester
Sch WinchesterWinchester · 12.3 mi
Sch Migrant OutreachWinchester · 13.2 mi
Shenandoah Community Health - RansonRanson · 29.7 mi
Sch Behavioral HealthCharles Town · 30.1 mi
17.2 mi
E. A. Hawse Health Center
4 sites · nearest in Wardensville
E.A. Hawse Health Center, Inc. WardensvilleWardensville · 17.2 mi
E. A. Hawse Health CenterBaker · 24.6 mi
E.A. Hawse Health Center, Inc. RomneyRomney · 30.9 mi
Romney Behavioral Health- E.A. Hawse Health CenterRomney · 32.8 mi
Nothing matches.
! Primary careMiddletown's county is a federal shortage area for some residents.MI - Frederick County/Winchester City · need score 16 of 25
! Dental careMiddletown's county is a federal shortage area for some residents.MI - Frederick County/Winchester City · need score 15 of 25
! Mental healthMiddletown's county is a federal shortage area for some residents.Low-income residents, Northwestern MHCA · need score 14 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 Middletown. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).
All 40 measures for Middletown
| Measure | Middletown | Margin | Virginia | |
|---|---|---|---|---|
| Chronic conditions | ||||
| High blood pressure | 34.3% | 30.4–38.5% | 35.4% | about the same |
| High cholesterol | 36.9% | 32.8–41.2% | 38% | about the same |
| Obesity | 39.1% | 31.9–46.9% | 34.5% | about the same |
| Arthritis | 26.3% | 23.1–29.6% | 26.2% | about the same |
| Depression | 24.2% | 20.7–28.1% | 21.8% | about the same |
| Lost all teeth (65+) | 11% | 8.9–13.2% | 11.1% | about the same |
| Asthma | 11% | 9.7–12.5% | 10.4% | about the same |
| Cancer (not skin) | 8.1% | 7.3–9% | 7.7% | about the same |
| Diabetes | 11.5% | 9.8–13.4% | 12.5% | about the same |
| COPD | 7.3% | 6–8.7% | 6.2% | about the same |
| Heart disease | 6.3% | 5.5–7.2% | 6.1% | about the same |
| Stroke | 3.4% | 2.9–3.8% | 3.3% | about the same |
| Habits | ||||
| Smoke cigarettes | 14.9% | 11.7–18.4% | 12.2% | about the same |
| Binge drink | 15.6% | 12.7–18.8% | 14.5% | about the same |
| Get no exercise | 25.3% | 20.5–30.7% | 23.8% | about the same |
| Sleep under 7 hours | 37.6% | 31.5–43.9% | 36% | about the same |
| Care & screenings | ||||
| Yearly checkup | 77.8% | 73.9–81.3% | 79.2% | about the same |
| Dentist visit | 62% | 58.4–65.5% | 67.9% | worse |
| Cholesterol check | 85.9% | 83.3–88.1% | 87.5% | about the same |
| Colon screening | 69.2% | 64.4–73.6% | 67.4% | about the same |
| Mammogram | 80.4% | 74.1–85.9% | 78.6% | about the same |
| Taking BP meds | 75.9% | 72.8–78.8% | 76.8% | about the same |
| No health insurance | 9.5% | 7.5–11.8% | 8.7% | about the same |
| Mind & connection | ||||
| Feel lonely | 33.5% | 28–39.5% | 33.8% | about the same |
| Lack emotional support | 21.8% | 18–25.9% | 21.6% | about the same |
| Frequent mental distress | 18.1% | 15.8–20.6% | 15.9% | about the same |
| Fair or poor health | 19% | 15.8–22.7% | 18.1% | about the same |
| Frequent physical distress | 14.1% | 12–16.3% | 12.8% | about the same |
| Everyday needs | ||||
| Food insecurity | 13.3% | 10.3–16.7% | 13.1% | about the same |
| Housing insecurity | 10.9% | 8.7–13.3% | 10.9% | about the same |
| Utility shut-off threat | 7% | 5.7–8.3% | 7.1% | about the same |
| No reliable transportation | 7.5% | 6.2–9% | 7.4% | about the same |
| Receive SNAP | 11% | 8.3–13.8% | 10.7% | |
| Disability | ||||
| Any disability | 31.1% | 26.4–36.2% | 30% | |
| Walking or climbing stairs | 14.1% | 11.7–16.7% | 13.5% | |
| Thinking or memory | 16.2% | 13.6–19% | 14% | |
| Hearing | 6.9% | 5.9–7.8% | 6.4% | |
| Vision | 4.8% | 4.1–5.5% | 4.7% | |
| Dressing or bathing | 3.6% | 3.1–4.3% | 3.5% | |
| Errands alone | 8.6% | 7.1–10.1% | 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 Middletown door to door.
Close calls stay grayEvery figure has a margin of error. When the Virginia figure falls inside it, we don't call Middletown better or worse.
CDC's own town estimateCDC publishes Middletown 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.