State index

Kentucky

Environmental and community health profiles for all 120 counties in Kentucky. Sorted by opportunity score (highest need first).

120

Counties

Avg opportunity score

Converging-risk counties

What the data shows in Kentucky

Across Kentucky's 120 counties, 17 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 disease burden, the leading driver of community health need in Kentucky.

The most widespread specific risk pattern is Respiratory Burden, triggered in 94 counties, followed by Outage Vulnerability in 52 counties.

Robertson County carries the highest overall need in the state, with an opportunity score of 77 out of 100 (high). Higher scores mean more burden relative to the rest of the country.

County	Opportunity	Env	Disease	Provider	Social	Pop
Robertson County 21201	77	55	76	89	73	2,313
Wolfe County 21237	75	44	84	79	83	6,282
Fulton County 21075	74	54	79	71	76	6,338
Menifee County 21165	72	45	75	82	71	6,286
Cumberland County 21057	71	38	78	91	60	6,000
Lee County 21129	71	45	79	70	76	7,293
Hickman County 21105	71	52	78	84	52	4,447
Owsley County 21189	70	44	80	65	76	4,001
Bell County 21013	68	43	81	56	76	23,317
Nicholas County 21181	68	43	68	80	67	7,686
Casey County 21045	68	49	82	59	62	15,918
Carlisle County 21039	68	55	73	88	46	4,704
Clinton County 21053	67	47	79	63	61	9,148
Trimble County 21223	67	64	55	82	57	8,607
Knott County 21119	66	40	81	53	78	13,659
Wayne County 21231	66	44	77	63	63	19,580
Magoffin County 21153	66	37	80	56	79	11,228
Jackson County 21109	66	46	77	53	72	13,104
Clay County 21051	65	37	77	59	73	19,648
Elliott County 21063	65	43	74	69	59	7,245
Lewis County 21135	65	51	81	46	64	12,973
Rockcastle County 21203	65	51	71	58	64	16,190
Estill County 21065	65	42	78	52	71	13,936
Harlan County 21095	65	36	82	53	68	25,324
Letcher County 21133	65	36	80	58	64	20,423
Carroll County 21041	64	62	65	55	63	10,987
Breathitt County 21025	64	36	77	54	75	12,953
McCreary County 21147	64	36	77	58	66	17,050
Ballard County 21007	64	64	68	65	49	7,582
Floyd County 21071	64	37	76	56	68	34,423
Lawrence County 21127	64	50	74	53	61	16,000
Knox County 21121	63	42	77	51	68	29,794
Bourbon County 21017	63	61	62	61	58	20,134
Leslie County 21131	63	36	78	52	71	9,864
Barren County 21009	63	57	70	55	57	45,008
Hart County 21099	63	54	72	59	54	19,724
Henry County 21103	63	63	60	58	59	15,973
Crittenden County 21055	63	51	67	62	58	8,974
Russell County 21207	63	49	72	60	55	18,279
Metcalfe County 21169	62	47	75	55	57	10,482
Monroe County 21171	62	49	74	56	55	11,306
Harrison County 21097	61	59	56	60	59	19,415
Pulaski County 21199	61	53	70	57	52	66,191
Lincoln County 21137	61	45	71	53	59	24,776
Bath County 21011	61	46	68	53	62	12,975
Todd County 21219	61	55	61	52	63	12,494
Green County 21087	60	43	79	53	51	11,468
Fleming County 21069	60	49	68	56	56	15,442
Grayson County 21085	60	52	71	54	52	26,825
Bracken County 21023	60	42	61	60	65	8,426
Johnson County 21115	60	36	72	57	59	22,116
Powell County 21197	60	48	58	54	70	12,972
Trigg County 21221	59	47	65	54	59	14,369
Whitley County 21235	59	46	59	54	66	36,825
Carter County 21043	59	31	73	55	61	26,366
Pike County 21195	59	31	74	51	64	55,973
Perry County 21193	59	35	69	55	62	27,133
Allen County 21003	59	51	60	63	53	21,788
Lyon County 21143	59	57	59	61	51	9,187
Ohio County 21183	58	58	61	57	51	23,626
Caldwell County 21033	58	56	66	48	53	12,551
Gallatin County 21077	58	59	50	60	57	8,792
Marion County 21155	58	49	64	58	51	19,834
Webster County 21233	57	50	66	50	53	12,726
Breckinridge County 21027	57	42	67	59	51	21,124
Livingston County 21139	57	54	65	60	44	8,892
Adair County 21001	57	48	61	60	52	19,264
Mason County 21161	57	60	58	52	52	16,841
Muhlenberg County 21177	57	57	63	51	49	30,568
Boyd County 21019	57	52	61	46	58	47,826
Butler County 21031	57	51	63	48	54	12,375
Henderson County 21101	57	66	54	58	45	44,119
Graves County 21083	56	52	63	54	49	36,461
Morgan County 21175	56	39	60	59	57	14,283
Hopkins County 21107	56	55	63	54	45	44,929
Larue County 21123	56	47	56	54	57	15,303
Martin County 21159	56	37	60	43	74	10,928
Garrard County 21079	55	38	56	59	60	17,829
Laurel County 21125	55	42	63	56	52	63,296
Owen County 21187	55	47	58	52	55	11,313
Montgomery County 21173	55	49	54	56	55	28,527
Logan County 21141	55	62	60	54	41	28,283
Edmonson County 21061	54	40	71	48	48	12,448
Pendleton County 21191	54	51	52	46	59	14,810
Greenup County 21089	54	53	59	47	50	35,221
Hancock County 21091	54	59	53	67	37	8,920
Clark County 21049	53	52	49	52	54	37,304
Union County 21225	53	62	44	53	51	13,106
McCracken County 21145	52	52	56	53	45	67,428
Mercer County 21167	51	57	51	58	42	23,097
Christian County 21047	51	51	37	57	59	72,032
Simpson County 21213	51	59	43	62	45	20,195
Rowan County 21205	51	49	43	54	55	24,409
Jefferson County 21111	50	57	32	58	55	772,144
Taylor County 21217	50	47	47	57	48	26,443
Marshall County 21157	49	60	50	54	37	31,744
Boyle County 21021	49	50	46	54	45	30,988
McLean County 21149	49	48	54	54	40	9,054
Daviess County 21059	48	51	44	59	43	103,458
Grant County 21081	48	44	40	57	52	25,619
Washington County 21229	46	45	49	52	40	12,267
Calloway County 21035	45	50	37	54	46	38,280
Bullitt County 21029	45	59	36	55	38	84,863
Franklin County 21073	45	48	36	54	46	51,644
Meade County 21163	45	58	33	52	44	30,131
Madison County 21151	45	49	31	55	49	96,735
Anderson County 21005	44	46	41	56	39	24,613
Spencer County 21215	43	60	29	59	36	20,531
Jessamine County 21113	42	49	31	56	42	55,017
Woodford County 21239	42	56	33	56	34	27,268
Nelson County 21179	42	57	30	55	37	47,730
Shelby County 21211	41	53	31	56	36	49,515
Warren County 21227	41	45	29	55	43	142,229
Hardin County 21093	40	39	34	55	42	112,273
Fayette County 21067	38	41	20	56	48	320,154
Scott County 21209	38	64	19	57	29	60,168
Kenton County 21117	36	47	26	46	36	171,321
Campbell County 21037	32	36	24	46	36	93,702
Boone County 21015	31	54	16	47	25	140,496
Oldham County 21185	30	48	12	57	17	70,183

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.

Deeper reads from our research that connect to the data on this page.

Technical Blog
CDC PLACES Is Missing Disease Data for 187 Counties. The Acknowledgement Is Buried in a Footnote.
Kentucky and Pennsylvania have zero disease prevalence data in the current CDC PLACES release. CDC documented it once, in release notes. A structural vulnerability in how federal health data flows to downstream consumers.
April 21, 2026

Kentucky

What the data shows in Kentucky

Related analysis

CDC PLACES Is Missing Disease Data for 187 Counties. The Acknowledgement Is Buried in a Footnote.