Health · Twilight

Twilight, WV health

Twilight differs from West Virginia on 16 of 40 measures. It has fewer adults who have had cancer (7.9% vs 9.6%). Where it trails the state: more adults facing food insecurity (27% vs 16.2%).

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

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 97 people are less certain, so we show Twilight's figures without a grade.

Report card

How Twilight compares with West 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 Twilight adults…

44 of every 100 Twilight adults have high blood pressure
West Virginia: 44 in 100 · too close to call · margin 40–48.1%

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

Habits

Everyday habits, side by side with the state

Twilight, betterTwilight, worseToo close to callWest Virginia
Get no exerciseshare of adults 42.4% Twilight
WV 32.8%
Sleep under 7 hoursshare of adults 44.3% Twilight
WV 40.7%
Binge drinkshare of adults 13.9% Twilight
WV 14.1%
Smoke cigarettesshare of adults 26.6% Twilight
WV 19.3%
0%10%20%30%40%50%
Care & screenings

Keeping up with care

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

78%
Yearly checkup
WV 81%
49%
Dentist visit
WV 56%
79%
Cholesterol check
WV 87%
64%
Colon screening
WV 67%
73%
Mammogram
WV 76%
76%
Taking BP meds
WV 80%
1 in 8
working-age adults has no health insurance
Twilight 13% · West Virginia 1 in 12 (8.5%)
Mind & connection

How Twilight adults are doing

1 in 3Twilight adults feel lonely
37.1% · West Virginia 33.8% · too close to call
1 in 3Twilight adults have been diagnosed with depression
35.5% · West Virginia 30.4% · worse
1 in 4Twilight adults lack social or emotional support
26% · West Virginia 23% · too close to call
1 in 4Twilight adults are in frequent mental distress
27.3% · West Virginia 21.1% · 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 4
Twilight adults worry about having enough food
27% · WV 16.2% · worse
1 in 6
Twilight adults worry about keeping their housing
17.8% · WV 12.4% · worse
1 in 6
Twilight adults were threatened with a utility shut-off
15.7% · WV 11% · worse
1 in 7
Twilight adults lack reliable transportation
13.9% · WV 8.9% · worse

32.3% of Twilight adults receive SNAP (food stamps), compared with 17.8% across West Virginia.

Disability

Living with a disability

48%

of Twilight adults live with a disability (West Virginia 39.2%). Thinking or memory is the most common.

Walking or climbing stairs21.4%
Thinking or memory26.5%
Hearing10.2%
Errands alone15.5%
Vision7.8%
Dressing or bathing5.6%

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

Getting care

Care in and near Twilight

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

HNearest ERBoone Memorial HospitalMadison · 13.4 miDirections →
★Best rated nearbyLogan Regional Medical Center★★★★★ · 21.4 miDirections →
+Low-cost careLincoln County Primary Care CenterWharton · 3.7 mi · sliding-scale feesDirections →
3.7 mi
Lincoln County Primary Care Center
5 sites · nearest in Wharton
Sliding-scale fees
Directions to nearest
13.4 mi
Boone Memorial Hospital
Madison · ★★★★★
ERRural critical access
14.7 mi
Familycare Health Center - Madison
Madison · community health center
Sliding-scale fees
21.4 mi
Logan Regional Medical Center
Logan · ★★★★★
ER
23.8 mi
Montgomery General Hospital
Montgomery · not rated
ERRural critical access
24.4 mi
Raleigh General Hospital
Beckley · ★★★★★
ER
! Primary careTwilight's county is a federal shortage area for some residents.Low-income residents, Boone County · need score 20 of 25
! Dental careTwilight's county is a federal shortage area for some residents.Low-income residents, Boone County · need score 17 of 25
! Mental healthTwilight's county is a federal shortage area for some residents.Low-income residents, Boone County · 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 Twilight. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Twilight
MeasureTwilightMarginWest Virginia
Chronic conditions
High blood pressure43.9%40–48.1%44%about the same
High cholesterol41.5%37.5–45.9%42.7%about the same
Obesity48.4%40.5–56.4%40.6%about the same
Arthritis35.9%32.5–39.5%37.7%about the same
Depression35.5%31–40.5%30.4%worse
Lost all teeth (65+)28.1%23.4–33.5%19.5%worse
Asthma13.6%11.9–15.6%12.2%about the same
Cancer (not skin)7.9%6.9–9%9.6%better
Diabetes16.8%14.4–19.4%15.9%about the same
COPD14.1%11.6–17.6%10.6%worse
Heart disease10.3%8.5–12.4%8.7%about the same
Stroke4.7%3.8–5.8%4.2%about the same
Habits
Smoke cigarettes26.6%21.9–31.6%19.3%worse
Binge drink13.9%11.3–17%14.1%about the same
Get no exercise42.4%35.8–49.3%32.8%worse
Sleep under 7 hours44.3%37.4–51.5%40.7%about the same
Care & screenings
Yearly checkup77.6%73.2–81.5%81%about the same
Dentist visit48.6%44.4–52.8%55.5%worse
Cholesterol check78.7%74.2–82.3%86.8%worse
Colon screening64.4%59.4–69.1%66.5%about the same
Mammogram72.5%63.7–80.3%76.1%about the same
Taking BP meds75.9%73.4–78.2%79.5%worse
No health insurance13%9.1–18.4%8.5%worse
Mind & connection
Feel lonely37.1%31.5–42.7%33.8%about the same
Lack emotional support26%21.7–30.5%23%about the same
Frequent mental distress27.3%24.2–30.7%21.1%worse
Fair or poor health33.4%28–40%25.4%worse
Frequent physical distress20.1%17.2–23.8%17.3%about the same
Everyday needs
Food insecurity27%21.4–34.3%16.2%worse
Housing insecurity17.8%14.5–22%12.4%worse
Utility shut-off threat15.7%13.2–18.5%11%worse
No reliable transportation13.9%11.4–17.4%8.9%worse
Receive SNAP32.3%26.2–39.8%17.8%
Disability
Any disability48%41.9–54.7%39.2%
Walking or climbing stairs21.4%17.9–25.9%18.7%
Thinking or memory26.5%22.4–31.3%18.6%
Hearing10.2%8.7–12%9%
Vision7.8%6.5–9.6%5.7%
Dressing or bathing5.6%4.5–7.2%4.6%
Errands alone15.5%12.9–18.8%10.9%
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 Twilight door to door.
Close calls stay grayEvery figure has a margin of error. When the West Virginia figure falls inside it, we don't call Twilight better or worse.
CDC's own town estimateCDC publishes Twilight directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The West 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/19 · 2025-01-01