State index
Alabama
Environmental and community health profiles for all 67 counties in Alabama. Sorted by opportunity score (highest need first).
67
Counties
65
Avg opportunity score
22
Converging-risk counties
What the data shows in Alabama
Across Alabama's 67 counties, 22 have two or more of the four health-risk areas (environmental, disease, provider access, and social conditions) above the national threshold at the same time. These are the places where several pressures land together rather than one at a time.
Statewide, the health-risk area scoring highest on average is gaps in provider access, the leading driver of community health need in Alabama.
The most widespread specific risk pattern is Heat Vulnerability, triggered in 44 counties, followed by Heat-Dialysis Vulnerability in 37 counties.
Greene County carries the highest overall need in the state, with an opportunity score of 78 out of 100 (high). Higher scores mean more burden relative to the rest of the country.
| County | Opportunity | Env | Disease | Provider | Social | Pop |
|---|---|---|---|---|---|---|
| Greene County 01063 | 78 | 58 | 75 | 91 | 78 | 7,341 |
| Choctaw County 01023 | 77 | 58 | 76 | 85 | 74 | 12,252 |
| Dallas County 01047 | 76 | 63 | 71 | 84 | 76 | 36,165 |
| Perry County 01105 | 75 | 49 | 76 | 94 | 64 | 7,738 |
| Wilcox County 01131 | 75 | 55 | 76 | 78 | 84 | 9,944 |
| Lowndes County 01085 | 74 | 63 | 73 | 70 | 85 | 9,717 |
| Conecuh County 01035 | 74 | 50 | 79 | 81 | 67 | 11,174 |
| Monroe County 01099 | 73 | 58 | 74 | 89 | 57 | 19,229 |
| Fayette County 01057 | 73 | 55 | 74 | 82 | 64 | 15,967 |
| Marengo County 01091 | 73 | 59 | 67 | 86 | 65 | 18,684 |
| Washington County 01129 | 72 | 68 | 66 | 84 | 58 | 15,022 |
| Barbour County 01005 | 72 | 60 | 69 | 77 | 70 | 24,585 |
| Macon County 01087 | 72 | 61 | 61 | 85 | 72 | 18,370 |
| Hale County 01065 | 72 | 58 | 67 | 77 | 72 | 14,888 |
| Lamar County 01075 | 72 | 55 | 75 | 86 | 55 | 13,661 |
| Jackson County 01071 | 71 | 69 | 73 | 76 | 54 | 53,467 |
| Talladega County 01121 | 71 | 72 | 61 | 81 | 60 | 81,132 |
| Clarke County 01025 | 71 | 57 | 66 | 86 | 62 | 22,337 |
| Walker County 01127 | 70 | 57 | 67 | 84 | 61 | 64,728 |
| Winston County 01133 | 70 | 46 | 78 | 80 | 58 | 23,611 |
| Coosa County 01037 | 69 | 58 | 73 | 75 | 57 | 10,268 |
| Russell County 01113 | 69 | 57 | 57 | 84 | 73 | 58,744 |
| Butler County 01013 | 69 | 43 | 70 | 86 | 63 | 18,382 |
| Bullock County 01011 | 69 | 44 | 72 | 72 | 84 | 9,897 |
| Bibb County 01007 | 69 | 57 | 63 | 88 | 57 | 21,868 |
| Etowah County 01055 | 69 | 64 | 64 | 82 | 56 | 103,241 |
| Chambers County 01017 | 69 | 52 | 66 | 79 | 66 | 34,079 |
| Pickens County 01107 | 69 | 51 | 63 | 88 | 61 | 18,688 |
| Clay County 01027 | 68 | 49 | 72 | 75 | 62 | 14,111 |
| Franklin County 01059 | 68 | 48 | 64 | 84 | 65 | 31,802 |
| Cleburne County 01029 | 68 | 58 | 62 | 83 | 59 | 15,639 |
| Sumter County 01119 | 68 | 37 | 64 | 87 | 79 | 11,727 |
| Crenshaw County 01041 | 68 | 49 | 64 | 81 | 64 | 13,101 |
| DeKalb County 01049 | 67 | 57 | 65 | 77 | 58 | 72,569 |
| Randolph County 01111 | 67 | 44 | 66 | 86 | 59 | 22,786 |
| Calhoun County 01015 | 67 | 65 | 54 | 82 | 58 | 116,429 |
| Cherokee County 01019 | 67 | 53 | 75 | 76 | 50 | 25,666 |
| Marion County 01093 | 67 | 53 | 73 | 79 | 50 | 29,244 |
| Henry County 01067 | 66 | 58 | 67 | 76 | 54 | 17,899 |
| Lawrence County 01079 | 66 | 62 | 64 | 76 | 51 | 33,502 |
| Tallapoosa County 01123 | 64 | 42 | 68 | 85 | 52 | 40,677 |
| Geneva County 01061 | 64 | 57 | 72 | 57 | 57 | 26,988 |
| Colbert County 01033 | 64 | 59 | 57 | 85 | 49 | 58,361 |
| Blount County 01009 | 64 | 58 | 53 | 85 | 55 | 59,816 |
| Escambia County 01053 | 64 | 61 | 73 | 41 | 64 | 36,558 |
| Dale County 01045 | 63 | 56 | 58 | 79 | 52 | 49,871 |
| Cullman County 01043 | 62 | 64 | 52 | 83 | 47 | 92,016 |
| Marshall County 01095 | 61 | 63 | 51 | 82 | 47 | 100,756 |
| Mobile County 01097 | 61 | 51 | 42 | 84 | 62 | 411,640 |
| Houston County 01069 | 60 | 63 | 59 | 58 | 53 | 108,462 |
| Jefferson County 01073 | 60 | 58 | 35 | 83 | 62 | 662,895 |
| Montgomery County 01101 | 60 | 49 | 43 | 81 | 62 | 224,980 |
| Morgan County 01103 | 59 | 58 | 48 | 81 | 49 | 125,133 |
| Coffee County 01031 | 59 | 56 | 50 | 80 | 48 | 55,643 |
| Chilton County 01021 | 58 | 48 | 49 | 83 | 51 | 46,431 |
| Pike County 01109 | 58 | 54 | 43 | 74 | 58 | 33,137 |
| Covington County 01039 | 58 | 55 | 72 | 41 | 52 | 37,952 |
| Autauga County 01001 | 56 | 66 | 37 | 84 | 44 | 60,342 |
| St. Clair County 01115 | 55 | 54 | 41 | 85 | 45 | 95,552 |
| Lauderdale County 01077 | 53 | 48 | 44 | 80 | 44 | 96,814 |
| Elmore County 01051 | 51 | 52 | 35 | 83 | 42 | 90,441 |
| Lee County 01081 | 49 | 52 | 23 | 82 | 49 | 183,215 |
| Tuscaloosa County 01125 | 47 | 38 | 26 | 83 | 50 | 237,373 |
| Limestone County 01083 | 46 | 57 | 28 | 80 | 33 | 114,654 |
| Shelby County 01117 | 44 | 62 | 20 | 82 | 29 | 233,000 |
| Baldwin County 01003 | 43 | 37 | 44 | 57 | 40 | 253,507 |
| Madison County 01089 | 42 | 54 | 18 | 80 | 34 | 412,600 |
Scores are national percentile ranks (0–100) from the Banana Analytics methodology (v1.2.0). Higher scores indicate more burden. Click any county for its full environmental and community health profile.