Screening and Risk Factors Table

New: County level modeled estimates for breast or cervical screening, smoking, and colorectal screening.
  • How do you find them?

    These estimates are only available for

    • Mammogram in Past 2 Years, Age 40+
    • Pap Smear in Past 3 Years, No Hysterectomy, Ages 18+
    • Fecal occult blood test (FOBT) in Past 2 Years, Ages 50+
    • Ever Had Colorectal Endoscopy (sigmoidoscopy or colonoscopy), Ages 50+
    • Ever Had Colorectal Cancer Test (home-based FOBT in the past two years or ever had a colorectal endoscopy), Ages 50+
    • Smokers (current or ever), Age 18+

    Select one of those statistics in the Screening and Risk Factors drop-down, and then you can choose County-Level Modeled Estimates in the Data Type drop-down when you choose Counties for a specific state (e.g., Alabama Counties) in the Area drop-down.

    For more about what these estimates are, see the Data Type Explanation.

  • Why are they different?

    One difference is that the direct estimate is from data collected in one year, while the modeled estimate relies on pooled data from 2008 through 2010.

    Another difference is that the modeled estimates use data from BRFSS as well as another survey (NHIS) that has a smaller but more representative sample, in that NHIS includes people without phones or with only cell phones. The national cancer screening prevalence estimates based on the BRFSS was sometimes substantially larger than the NHIS estimates for the same time period1. For similar time periods, the modeled estimates may be closer to the true value.

    See the Data Type Explanation.

    The model uses multiple years (2008-2010) to provide reasonable sample sizes (mainly for estimates at the county level), and needs at least two years of data from each survey. For the screening questions, data actually came from year 2008 and 2010. For smoking, data came from each year of 2008 to 2010.

    1 Davis WW, Parsons VL, Xie D, Schenker N, Town M, Raghunathan TE, Feuer EJ. State-based estimates of mammography screening rates based on information from two health surveys. Public Health Rep 2010 Jul-Aug;125(4):567-578. [Access article]

Data Options

Screening and Risk Factors Report for Not Applicable by County
(2008-2010 County Level Modeled Estimate Combining BRFSS & NHIS)

Current Smokers
All Races (includes Hispanic), Both Sexes, Ages 18+
Healthy People 2020 Objective Number: TU-1.1
Reduce tobacco use by adults: Cigarette smoking

Sorted by Percent
County
 sort alphabetically by name ascending
Met
Objective
of 12.0%?1
Model-Based Percent 3
(95% Confidence Interval)
 sort by percent ascending
Bennett County, South Dakota No 43.0 (26.6, 59.5)
Mineral County, Nevada No 42.2 (28.0, 56.3)
White County, Illinois No 41.9 (30.0, 53.8)
Garfield County, Montana No 41.5 (24.3, 58.7)
Potter County, South Dakota No 41.3 (27.9, 54.7)
Buffalo County, South Dakota No 40.8 (25.4, 56.2)
Shannon County, South Dakota No 40.4 (24.5, 56.4)
Gallatin County, Illinois No 39.6 (27.0, 52.2)
Wabash County, Illinois No 39.6 (26.6, 52.5)
Wilkinson County, Mississippi No 39.4 (27.6, 51.2)
Alexander County, Illinois No 39.3 (27.4, 51.1)
Clark County, Illinois No 39.3 (27.6, 51.0)
Wheeler County, Nebraska No 39.0 (19.6, 58.4)
Ziebach County, South Dakota No 38.6 (22.3, 54.9)
Dewey County, South Dakota No 38.4 (25.6, 51.2)
Fulton County, Kentucky No 38.4 (28.0, 48.8)
Meigs County, Ohio No 38.4 (28.0, 48.9)
Crittenden County, Kentucky No 38.3 (27.1, 49.5)
Hamilton County, Illinois No 38.3 (26.6, 50.1)
Todd County, South Dakota No 38.1 (22.5, 53.7)
Cumberland County, Illinois No 38.0 (25.8, 50.2)
Franklin County, Illinois No 38.0 (25.9, 50.2)
Lewis County, Kentucky No 38.0 (28.2, 47.8)
Hughes County, Oklahoma No 37.7 (26.7, 48.7)
Jones County, South Dakota No 37.4 (19.1, 55.6)
De Witt County, Illinois No 37.3 (26.5, 48.1)
Elliott County, Kentucky No 37.3 (24.4, 50.3)
Vermillion County, Indiana No 37.2 (27.4, 47.1)
Christian County, Illinois No 37.1 (25.6, 48.5)
Fallon County, Montana No 37.1 (22.5, 51.7)
Perkins County, South Dakota No 37.0 (23.2, 50.7)
Powell County, Kentucky No 36.9 (28.1, 45.6)
Lyman County, South Dakota No 36.8 (22.6, 51.0)
Wayne County, Illinois No 36.8 (25.4, 48.2)
Braxton County, West Virginia No 36.7 (27.0, 46.5)
Corson County, South Dakota No 36.7 (24.3, 49.1)
Doddridge County, West Virginia No 36.7 (25.3, 48.1)
Hancock County, Tennessee No 36.7 (25.2, 48.1)
Roberts County, South Dakota No 36.7 (25.9, 47.4)
Marion County, Texas No 36.6 (26.4, 46.8)
Monona County, Iowa No 36.6 (25.6, 47.6)
Macoupin County, Illinois No 36.5 (25.3, 47.6)
Edwards County, Illinois No 36.4 (23.7, 49.2)
Emporia City, Virginia No 36.4 (23.7, 49.0)
Fayette County, Pennsylvania No 36.4 (29.0, 43.9)
Wolfe County, Kentucky No 36.4 (26.0, 46.8)
Carroll County, Kentucky No 36.3 (24.7, 47.8)
Fayette County, Illinois No 36.3 (24.3, 48.4)
Henderson County, Illinois No 36.3 (25.6, 47.0)
Jackson County, Ohio No 36.3 (27.0, 45.6)
Muhlenberg County, Kentucky No 36.3 (27.4, 45.1)
Bristol City, Virginia No 36.2 (24.2, 48.1)
Cedar County, Missouri No 36.2 (26.0, 46.5)
Magoffin County, Kentucky No 36.2 (24.8, 47.6)
Washington County, Missouri No 36.2 (28.3, 44.1)
Martin County, Indiana No 36.0 (25.0, 47.1)
Montmorency County, Michigan No 36.0 (25.5, 46.5)
Barton County, Missouri No 35.9 (24.4, 47.3)
Burke County, North Dakota No 35.9 (22.4, 49.3)
Comanche County, Kansas No 35.9 (22.2, 49.5)
Logan County, Kansas No 35.9 (22.4, 49.4)
McCone County, Montana No 35.9 (18.3, 53.6)
St. Francis County, Arkansas No 35.9 (25.6, 46.3)
Daniels County, Montana No 35.8 (21.1, 50.5)
Mercer County, Illinois No 35.8 (25.0, 46.7)
Kingman County, Kansas No 35.7 (24.6, 46.9)
Crawford County, Illinois No 35.6 (24.5, 46.7)
Haakon County, South Dakota No 35.6 (22.0, 49.1)
McIntosh County, Oklahoma No 35.6 (26.1, 45.0)
McLean County, North Dakota No 35.6 (23.7, 47.5)
Mellette County, South Dakota No 35.6 (21.6, 49.5)
Schoolcraft County, Michigan No 35.5 (25.8, 45.1)
Perry County, Pennsylvania No 35.4 (25.7, 45.0)
Sioux County, North Dakota No 35.4 (21.8, 49.0)
Breckinridge County, Kentucky No 35.3 (26.3, 44.3)
Coal County, Oklahoma No 35.3 (23.8, 46.7)
Iroquois County, Illinois No 35.2 (24.3, 46.1)
Newton County, Indiana No 35.2 (25.4, 45.0)
Rock County, Nebraska No 35.2 (20.0, 50.4)
Butler County, Alabama No 35.1 (26.2, 44.0)
Jackson County, Kentucky No 35.1 (25.2, 45.1)
Jersey County, Illinois No 35.1 (24.2, 46.1)
Polk County, Tennessee No 35.1 (25.3, 44.9)
Ray County, Missouri No 35.1 (25.9, 44.3)
Chautauqua County, Kansas No 35.0 (21.8, 48.3)
Collingsworth County, Texas No 35.0 (20.5, 49.6)
Humphreys County, Tennessee No 34.9 (25.5, 44.3)
Kidder County, North Dakota No 34.9 (21.7, 48.1)
Madison County, Missouri No 34.9 (25.1, 44.6)
Vinton County, Ohio No 34.9 (24.1, 45.7)
Carter County, Kentucky No 34.8 (25.4, 44.2)
McIntosh County, Georgia No 34.8 (24.4, 45.1)
Edgar County, Illinois No 34.7 (24.0, 45.3)
Estill County, Kentucky No 34.7 (25.1, 44.4)
Fountain County, Indiana No 34.7 (25.4, 43.9)
Jefferson County, Illinois No 34.7 (24.7, 44.6)
Randolph County, Missouri No 34.7 (24.6, 44.8)
Amite County, Mississippi No 34.6 (24.9, 44.1)
Christian County, Kentucky No 34.6 (27.0, 42.2)
Columbiana County, Ohio No 34.6 (26.1, 43.1)
Knox County, Illinois No 34.6 (22.6, 46.6)
McLean County, Kentucky No 34.6 (23.8, 45.3)
Nicholas County, Kentucky No 34.6 (23.9, 45.3)
Oregon County, Missouri No 34.6 (23.0, 46.2)
Sullivan County, Missouri No 34.6 (24.4, 44.8)
Arenac County, Michigan No 34.5 (25.2, 43.7)
Desha County, Arkansas No 34.5 (23.3, 45.7)
Jewell County, Kansas No 34.5 (21.1, 47.8)
Bon Homme County, South Dakota No 34.4 (23.5, 45.3)
Fall River County, South Dakota No 34.4 (21.6, 47.2)
Lake of the Woods County, Minnesota No 34.4 (21.5, 47.4)
Woodruff County, Arkansas No 34.4 (23.1, 45.6)
Arkansas County, Arkansas No 34.3 (24.0, 44.6)
Coles County, Illinois No 34.3 (21.0, 47.5)
Harrison County, Missouri No 34.3 (24.9, 43.8)
Lawrence County, Ohio No 34.3 (24.6, 43.9)
Marion County, Georgia No 34.3 (22.5, 46.2)
Marshall County, Illinois No 34.3 (22.5, 46.1)
Pulaski County, Illinois No 34.3 (22.5, 46.0)
Taylor County, West Virginia No 34.3 (24.3, 44.4)
Wirt County, West Virginia No 34.3 (24.0, 44.7)
Belmont County, Ohio No 34.2 (25.1, 43.3)
Fayette County, Ohio No 34.2 (25.1, 43.3)
Greene County, Indiana No 34.2 (24.7, 43.7)
Holmes County, Mississippi No 34.2 (22.5, 45.9)
Montgomery County, Missouri No 34.2 (23.5, 44.8)
Pike County, Illinois No 34.2 (23.7, 44.8)
Lincoln County, Arkansas No 34.1 (22.1, 46.1)
Ripley County, Missouri No 34.1 (25.0, 43.2)
Washington County, Illinois No 34.1 (24.2, 44.0)
Chester County, South Carolina No 34.0 (25.7, 42.3)
Chicot County, Arkansas No 34.0 (24.0, 44.0)
Grant County, Kentucky No 34.0 (24.7, 43.2)
Hyde County, North Carolina No 34.0 (21.3, 46.7)
Logan County, West Virginia No 34.0 (26.1, 41.8)
Macon County, Georgia No 34.0 (23.6, 44.3)
Oscoda County, Michigan No 34.0 (22.8, 45.2)
Owen County, Indiana No 34.0 (24.6, 43.4)
Turner County, South Dakota No 34.0 (21.2, 46.8)
Wetzel County, West Virginia No 34.0 (24.8, 43.1)
Dallas County, Missouri No 33.9 (24.0, 43.9)
Guernsey County, Ohio No 33.9 (25.1, 42.7)
Kalkaska County, Michigan No 33.9 (22.3, 45.4)
Monroe County, Kentucky No 33.9 (24.1, 43.6)
Monroe County, Ohio No 33.9 (21.9, 46.0)
Murray County, Oklahoma No 33.9 (24.3, 43.6)
Poinsett County, Arkansas No 33.9 (23.6, 44.1)
Williamson County, Illinois No 33.9 (22.3, 45.6)
Clay County, Tennessee No 33.8 (23.7, 43.8)
Lyon County, Kentucky No 33.8 (23.9, 43.7)
Monroe County, Missouri No 33.8 (22.9, 44.7)
Newton County, Texas No 33.8 (23.6, 44.1)
Perry County, Tennessee No 33.8 (24.0, 43.7)
Pike County, Indiana No 33.8 (23.9, 43.7)
Randolph County, Georgia No 33.8 (20.1, 47.6)
Roosevelt County, Montana No 33.8 (22.6, 45.0)
Wyandot County, Ohio No 33.8 (23.7, 43.9)
Greene County, Illinois No 33.7 (23.2, 44.2)
Morgan County, Kentucky No 33.7 (23.7, 43.7)
Clearfield County, Pennsylvania No 33.6 (24.9, 42.3)
Gregory County, South Dakota No 33.6 (21.2, 46.1)
Bibb County, Alabama No 33.5 (23.4, 43.5)
Jones County, North Carolina No 33.5 (23.9, 43.0)
Monroe County, Arkansas No 33.5 (23.0, 44.0)
Rolette County, North Dakota No 33.5 (24.3, 42.7)
Thurston County, Nebraska No 33.5 (24.2, 42.8)
Breathitt County, Kentucky No 33.4 (22.4, 44.3)
Carroll County, Ohio No 33.4 (23.7, 42.9)
Cheyenne County, Nebraska No 33.4 (19.6, 47.2)
Letcher County, Kentucky No 33.4 (23.7, 43.0)
Noble County, Ohio No 33.4 (22.4, 44.4)
Richland County, Illinois No 33.4 (23.0, 43.9)
Saline County, Illinois No 33.4 (23.7, 43.0)
Scott County, Indiana No 33.4 (24.4, 42.5)
Anson County, North Carolina No 33.3 (24.0, 42.6)
Bent County, Colorado No 33.3 (20.0, 46.7)
Graham County, North Carolina No 33.3 (22.9, 43.6)
Harper County, Kansas No 33.3 (22.7, 43.9)
Jennings County, Indiana No 33.3 (24.5, 42.1)
Kiowa County, Colorado No 33.3 (19.3, 47.3)
Marion County, Illinois No 33.3 (25.3, 41.2)
Perry County, Ohio No 33.3 (23.7, 42.9)
Winn Parish, Louisiana No 33.3 (24.0, 42.5)
Cass County, Illinois No 33.2 (21.7, 44.6)
Franklin Parish, Louisiana No 33.2 (23.6, 42.9)
Grant County, Oregon No 33.2 (22.7, 43.7)
Green County, Kentucky No 33.2 (22.1, 44.3)
Marion County, Tennessee No 33.2 (24.3, 42.0)
Prairie County, Arkansas No 33.2 (22.8, 43.6)
Robertson County, Kentucky No 33.2 (21.6, 44.8)
Union Parish, Louisiana No 33.2 (23.8, 42.5)
Walker County, Alabama No 33.2 (23.6, 42.8)
Walworth County, South Dakota No 33.2 (23.4, 43.0)
Charlton County, Georgia No 33.1 (21.3, 44.8)
Clinton County, Missouri No 33.1 (23.7, 42.4)
Henry County, Tennessee No 33.1 (24.0, 42.2)
Holt County, Missouri No 33.1 (22.1, 44.1)
Kent County, Texas No 33.1 (18.5, 47.7)
McDuffie County, Georgia No 33.1 (23.9, 42.3)
Ouachita County, Arkansas No 33.1 (25.2, 41.0)
Swain County, North Carolina No 33.1 (23.4, 42.7)
Carroll County, Illinois No 33.0 (22.3, 43.6)
Crawford County, Ohio No 33.0 (24.2, 41.8)
Perry County, Kentucky No 33.0 (23.8, 42.1)
Pike County, Ohio No 33.0 (23.5, 42.5)
Preble County, Ohio No 33.0 (23.8, 42.2)
Blaine County, Nebraska No 32.9 (15.6, 50.3)
Casey County, Kentucky No 32.9 (23.4, 42.4)
Cherokee County, Kansas No 32.9 (23.7, 42.0)
Clay County, Indiana No 32.9 (23.9, 41.8)
Crawford County, Missouri No 32.9 (23.5, 42.4)
Harrison County, Mississippi No 32.9 (26.1, 39.8)
Lawrence County, Illinois No 32.9 (22.1, 43.6)
Macon County, Tennessee No 32.9 (24.2, 41.6)
Marion County, Alabama No 32.9 (24.8, 41.0)
Mason County, Illinois No 32.9 (21.9, 43.9)
Morgan County, Indiana No 32.9 (24.6, 41.3)
Roane County, West Virginia No 32.9 (23.8, 42.1)
Whitley County, Kentucky No 32.9 (23.8, 42.0)
Lawrence County, Kentucky No 32.8 (23.4, 42.2)
Missaukee County, Michigan No 32.8 (22.8, 42.8)
Stark County, Illinois No 32.8 (22.1, 43.4)
Decatur County, Tennessee No 32.7 (23.0, 42.5)
Grant County, South Dakota No 32.7 (21.9, 43.5)
Lake County, Minnesota No 32.7 (22.7, 42.7)
Okfuskee County, Oklahoma No 32.7 (23.4, 41.9)
Perry County, Illinois No 32.7 (21.5, 43.8)
Pickett County, Tennessee No 32.7 (21.6, 43.8)
Tyler County, West Virginia No 32.7 (23.1, 42.2)
Lawrence County, Indiana No 32.6 (23.7, 41.5)
Martin County, Kentucky No 32.6 (20.7, 44.5)
Miner County, South Dakota No 32.6 (20.1, 45.2)
Pendleton County, Kentucky No 32.6 (23.7, 41.6)
Prentiss County, Mississippi No 32.6 (24.5, 40.6)
Ransom County, North Dakota No 32.6 (22.0, 43.1)
Shelby County, Illinois No 32.6 (21.9, 43.2)
Wayne County, West Virginia No 32.6 (23.7, 41.4)
Bell County, Kentucky No 32.5 (22.9, 42.1)
Bottineau County, North Dakota No 32.5 (22.7, 42.2)
Gallia County, Ohio No 32.5 (23.5, 41.5)
Horry County, South Carolina No 32.5 (26.4, 38.5)
Hot Springs County, Wyoming No 32.5 (21.5, 43.5)
Johnson County, Tennessee No 32.5 (21.4, 43.6)
La Paz County, Arizona No 32.5 (21.5, 43.4)
Lauderdale County, Mississippi No 32.5 (25.7, 39.4)
Mayes County, Oklahoma No 32.5 (24.0, 41.0)
Ohio County, Indiana No 32.5 (21.4, 43.5)
Randolph County, Indiana No 32.5 (23.6, 41.5)
Todd County, Kentucky No 32.5 (23.1, 42.0)
Warren County, Illinois No 32.5 (21.2, 43.9)
Allendale County, South Carolina No 32.4 (19.8, 45.0)
Ford County, Illinois No 32.4 (21.8, 42.9)
Greene County, Pennsylvania No 32.4 (23.9, 40.9)
Henderson County, Tennessee No 32.4 (23.6, 41.2)
Montgomery County, Illinois No 32.4 (22.2, 42.6)
Putnam County, Missouri No 32.4 (21.0, 43.7)
Richmond County, Virginia No 32.4 (21.6, 43.2)
Taylor County, Georgia No 32.4 (22.0, 42.8)
Brooke County, West Virginia No 32.3 (22.9, 41.7)
Clare County, Michigan No 32.3 (23.0, 41.7)
Coshocton County, Ohio No 32.3 (23.5, 41.2)
Huntington County, Indiana No 32.3 (23.7, 40.9)
Hyde County, South Dakota No 32.3 (18.6, 45.9)
Lincoln County, Georgia No 32.3 (22.6, 41.9)
Miller County, Missouri No 32.3 (23.1, 41.5)
Orange County, Texas No 32.3 (23.9, 40.7)
Trinity County, Texas No 32.3 (22.5, 42.1)
Wells County, North Dakota No 32.3 (21.8, 42.8)
Aurora County, South Dakota No 32.2 (18.3, 46.2)
Campbell County, Tennessee No 32.2 (23.4, 41.0)
Cocke County, Tennessee No 32.2 (22.9, 41.5)
Decatur County, Indiana No 32.2 (23.5, 40.9)
Gibson County, Indiana No 32.2 (23.3, 41.1)
Glacier County, Montana No 32.2 (22.9, 41.4)
Jefferson Davis County, Mississippi No 32.2 (21.3, 43.0)
Marshall County, West Virginia No 32.2 (23.7, 40.7)
Mercer County, North Dakota No 32.2 (21.2, 43.2)
Mississippi County, Arkansas No 32.2 (24.8, 39.6)
Ogemaw County, Michigan No 32.2 (22.5, 41.9)
Waller County, Texas No 32.2 (22.1, 42.3)
Wilcox County, Georgia No 32.2 (21.3, 42.9)
Butler County, Kentucky No 32.1 (22.6, 41.5)
Hamlin County, South Dakota No 32.1 (19.3, 44.9)
Hancock County, Illinois No 32.1 (23.1, 41.1)
Live Oak County, Texas No 32.1 (20.5, 43.8)
Ottawa County, Ohio No 32.1 (23.4, 40.9)
Pembina County, North Dakota No 32.1 (22.0, 42.1)
Sanilac County, Michigan No 32.1 (23.2, 41.0)
Ware County, Georgia No 32.1 (23.0, 41.2)
Wheatland County, Montana No 32.1 (17.2, 47.1)
White County, Arkansas No 32.1 (24.8, 39.3)
Barnwell County, South Carolina No 32.0 (22.3, 41.7)
Brule County, South Dakota No 32.0 (19.7, 44.2)
Hardin County, Texas No 32.0 (23.0, 41.0)
Harney County, Oregon No 32.0 (20.7, 43.3)
Sullivan County, Tennessee No 32.0 (24.7, 39.4)
Terrell County, Georgia No 32.0 (21.9, 42.1)
Washington County, Ohio No 32.0 (23.4, 40.5)
Armstrong County, Pennsylvania No 31.9 (24.3, 39.4)
Day County, South Dakota No 31.9 (20.8, 43.0)
Foster County, North Dakota No 31.9 (22.0, 41.9)
Fulton County, Indiana No 31.9 (22.7, 41.1)
Hardin County, Tennessee No 31.9 (22.9, 40.9)
Harlan County, Nebraska No 31.9 (21.1, 42.7)
Choctaw County, Oklahoma No 31.8 (22.2, 41.3)
Clark County, South Dakota No 31.8 (21.0, 42.7)
Crisp County, Georgia No 31.8 (22.5, 41.0)
Fulton County, Illinois No 31.8 (22.6, 41.1)
Hancock County, West Virginia No 31.8 (21.9, 41.7)
Iowa County, Wisconsin No 31.8 (21.1, 42.4)
Issaquena County, Mississippi No 31.8 (17.4, 46.2)
Jackson County, Arkansas No 31.8 (22.2, 41.5)
Sequoyah County, Oklahoma No 31.8 (22.9, 40.7)
Shelby County, Indiana No 31.8 (23.2, 40.4)
Tyrrell County, North Carolina No 31.8 (20.5, 43.1)
Washington County, Indiana No 31.8 (22.6, 40.9)
Webster County, West Virginia No 31.8 (20.6, 43.0)
Bullock County, Alabama No 31.7 (21.5, 41.9)
Clay County, Mississippi No 31.7 (22.3, 41.1)
Deer Lodge County, Montana No 31.7 (22.3, 41.2)
Grundy County, Tennessee No 31.7 (22.1, 41.4)
Huron County, Ohio No 31.7 (23.1, 40.3)
Kingsbury County, South Dakota No 31.7 (20.5, 42.9)
Logan County, Illinois No 31.7 (21.0, 42.4)
Logan County, Ohio No 31.7 (23.1, 40.3)
Lowndes County, Alabama No 31.7 (21.5, 41.8)
Metcalfe County, Kentucky No 31.7 (22.4, 41.1)
Pawnee County, Oklahoma No 31.7 (22.5, 40.9)
Powder River County, Montana No 31.7 (15.5, 47.9)
Quitman County, Mississippi No 31.7 (20.3, 43.1)
Ashtabula County, Ohio No 31.6 (23.4, 39.9)
Athens County, Ohio No 31.6 (21.1, 42.1)
Bienville Parish, Louisiana No 31.6 (21.6, 41.6)
Brown County, Ohio No 31.6 (22.9, 40.3)
Covington City, Virginia No 31.6 (19.8, 43.5)
Genesee County, Michigan No 31.6 (25.6, 37.6)
Haywood County, Tennessee No 31.6 (22.3, 40.8)
Hickman County, Tennessee No 31.6 (22.7, 40.6)
Hickory County, Missouri No 31.6 (21.6, 41.7)
Lake County, Oregon No 31.6 (21.4, 41.8)
Lincoln County, Oklahoma No 31.6 (22.6, 40.6)
Meigs County, Tennessee No 31.6 (22.4, 40.8)
Rush County, Kansas No 31.6 (21.6, 41.7)
Armstrong County, Texas No 31.5 (19.1, 43.8)
Cannon County, Tennessee No 31.5 (23.1, 39.9)
Crawford County, Indiana No 31.5 (20.8, 42.1)
Harrison County, Iowa No 31.5 (22.2, 40.7)
La Salle County, Illinois No 31.5 (23.1, 40.0)
Leake County, Mississippi No 31.5 (22.1, 40.8)
Lincoln County, Kentucky No 31.5 (22.9, 40.0)
Logan County, Arkansas No 31.5 (22.3, 40.6)
Ness County, Kansas No 31.5 (18.8, 44.2)
Presque Isle County, Michigan No 31.5 (21.6, 41.3)
Randolph County, Arkansas No 31.5 (21.9, 41.2)
Tripp County, South Dakota No 31.5 (20.1, 42.9)
Tunica County, Mississippi No 31.5 (20.6, 42.4)
Wayne County, Iowa No 31.5 (21.8, 41.3)
Wayne County, Kentucky No 31.5 (22.4, 40.6)
Weston County, Wyoming No 31.5 (20.7, 42.3)
Benton County, Tennessee No 31.4 (21.6, 41.3)
Dade County, Missouri No 31.4 (21.5, 41.4)
Grayson County, Kentucky No 31.4 (22.6, 40.1)
Jasper County, Illinois No 31.4 (20.6, 42.2)
Lake County, Tennessee No 31.4 (20.5, 42.2)
Madison Parish, Louisiana No 31.4 (20.6, 42.1)
Massac County, Illinois No 31.4 (21.7, 41.2)
Person County, North Carolina No 31.4 (22.7, 40.2)
Trinity County, California No 31.4 (20.3, 42.4)
Atkinson County, Georgia No 31.3 (19.9, 42.6)
Gasconade County, Missouri No 31.3 (21.8, 40.8)
Gladwin County, Michigan No 31.3 (22.1, 40.5)
Knox County, Texas No 31.3 (19.2, 43.4)
Larue County, Kentucky No 31.3 (22.4, 40.2)
Lee County, Mississippi No 31.3 (24.5, 38.1)
Lewis County, West Virginia No 31.3 (21.9, 40.7)
Marion County, Mississippi No 31.3 (22.4, 40.1)
Merrick County, Nebraska No 31.3 (21.2, 41.3)
Red River County, Texas No 31.3 (21.4, 41.3)
Rush County, Indiana No 31.3 (22.8, 39.7)
Warren County, Pennsylvania No 31.3 (22.7, 39.9)
Webster County, Kentucky No 31.3 (21.8, 40.8)
Williams County, Ohio No 31.3 (22.6, 40.0)
Yazoo County, Mississippi No 31.3 (19.3, 43.3)
Dawson County, Montana No 31.2 (19.8, 42.5)
Dunklin County, Missouri No 31.2 (22.3, 40.0)
Harlan County, Kentucky No 31.2 (22.0, 40.3)
Keokuk County, Iowa No 31.2 (20.8, 41.6)
Lafayette County, Missouri No 31.2 (23.0, 39.3)
Love County, Oklahoma No 31.2 (21.9, 40.5)
Marshall County, Tennessee No 31.2 (22.3, 40.1)
San Juan County, Colorado No 31.2 (10.2, 52.2)
Williams County, North Dakota No 31.2 (22.3, 40.0)
Charles Mix County, South Dakota No 31.1 (20.7, 41.5)
Coahoma County, Mississippi No 31.1 (21.5, 40.7)
Coke County, Texas No 31.1 (20.5, 41.8)
Dickinson County, Michigan No 31.1 (22.1, 40.0)
Jackson County, West Virginia No 31.1 (22.0, 40.2)
Mercer County, Kentucky No 31.1 (22.3, 40.0)
Neshoba County, Mississippi No 31.1 (22.2, 40.1)
Richland County, Montana No 31.1 (20.7, 41.5)
Ripley County, Indiana No 31.1 (23.0, 39.2)
Wayne County, Georgia No 31.1 (21.8, 40.4)
Adams County, Indiana No 31.0 (22.6, 39.4)
Clark County, Kentucky No 31.0 (22.5, 39.4)
Garfield County, Utah No 31.0 (18.2, 43.9)
Jo Daviess County, Illinois No 31.0 (19.6, 42.5)
Meriwether County, Georgia No 31.0 (21.5, 40.5)
Roanoke City, Virginia No 31.0 (22.7, 39.4)
Scott County, Tennessee No 31.0 (22.0, 40.0)
Susquehanna County, Pennsylvania No 31.0 (22.2, 39.8)
Tensas Parish, Louisiana No 31.0 (19.2, 42.8)
Van Buren County, Arkansas No 31.0 (21.7, 40.2)
Vermilion County, Illinois No 31.0 (22.6, 39.5)
Webster Parish, Louisiana No 31.0 (22.7, 39.2)
Barbour County, Alabama No 30.9 (21.8, 40.0)
Clay County, Illinois No 30.9 (21.5, 40.4)
Clinton County, Pennsylvania No 30.9 (22.3, 39.5)
Cumberland County, Kentucky No 30.9 (20.8, 41.1)
Greene County, Mississippi No 30.9 (21.0, 40.9)
Hardin County, Ohio No 30.9 (22.3, 39.4)
Lee County, Kentucky No 30.9 (20.9, 40.9)
Mason County, Kentucky No 30.9 (22.6, 39.2)
McDonald County, Missouri No 30.9 (20.7, 41.2)
Musselshell County, Montana No 30.9 (21.2, 40.6)
Schuyler County, Missouri No 30.9 (19.9, 42.0)
Sierra County, New Mexico No 30.9 (23.4, 38.4)
Taney County, Missouri No 30.9 (22.1, 39.8)
Appling County, Georgia No 30.8 (21.1, 40.6)
Baca County, Colorado No 30.8 (18.0, 43.6)
Barber County, Kansas No 30.8 (21.2, 40.3)
Colonial Heights City, Virginia No 30.8 (20.2, 41.4)
Danville City, Virginia No 30.8 (21.7, 39.9)
Elk County, Pennsylvania No 30.8 (22.4, 39.3)
Jefferson County, Pennsylvania No 30.8 (22.1, 39.4)
Somerset County, Maine No 30.8 (22.4, 39.1)
St. Bernard Parish, Louisiana No 30.8 (19.7, 41.9)
Stoddard County, Missouri No 30.8 (23.3, 38.2)
Taliaferro County, Georgia No 30.8 (19.0, 42.7)
Trigg County, Kentucky No 30.8 (22.2, 39.4)
Benton County, Indiana No 30.7 (21.1, 40.2)
Bullitt County, Kentucky No 30.7 (21.6, 39.9)
Covington County, Alabama No 30.7 (22.1, 39.3)
Custer County, South Dakota No 30.7 (20.1, 41.4)
East Feliciana Parish, Louisiana No 30.7 (21.5, 39.8)
Forest County, Pennsylvania No 30.7 (19.6, 41.8)
Gentry County, Missouri No 30.7 (20.3, 41.2)
Giles County, Tennessee No 30.7 (22.2, 39.3)
Hill County, Montana No 30.7 (21.1, 40.3)
McCracken County, Kentucky No 30.7 (22.1, 39.4)
Ottawa County, Oklahoma No 30.7 (22.7, 38.7)
Owsley County, Kentucky No 30.7 (20.0, 41.4)
Pike County, Mississippi No 30.7 (22.3, 39.1)
Ritchie County, West Virginia No 30.7 (21.6, 39.9)
San Saba County, Texas No 30.7 (18.7, 42.7)
Sharp County, Arkansas No 30.7 (22.6, 38.8)
Trousdale County, Tennessee No 30.7 (21.1, 40.4)
Van Buren County, Tennessee No 30.7 (20.5, 40.9)
Wayne County, Missouri No 30.7 (21.4, 40.0)
Brantley County, Georgia No 30.6 (20.2, 41.1)
Cheboygan County, Michigan No 30.6 (21.5, 39.6)
Essex County, Virginia No 30.6 (20.9, 40.2)
Galax City, Virginia No 30.6 (19.1, 42.2)
Iosco County, Michigan No 30.6 (21.5, 39.8)
Laclede County, Missouri No 30.6 (22.1, 39.2)
Lincoln County, Mississippi No 30.6 (21.7, 39.5)
Menominee County, Michigan No 30.6 (21.7, 39.5)
Morgan County, West Virginia No 30.6 (21.9, 39.3)
Nance County, Nebraska No 30.6 (18.8, 42.4)
Orange County, Indiana No 30.6 (22.4, 38.8)
Pacific County, Washington No 30.6 (24.1, 37.0)
Red Lake County, Minnesota No 30.6 (19.3, 41.9)
Sunflower County, Mississippi No 30.6 (20.4, 40.7)
West Carroll Parish, Louisiana No 30.6 (20.3, 41.0)
Caldwell County, Kentucky No 30.5 (21.4, 39.6)
Calhoun County, West Virginia No 30.5 (19.9, 41.1)
Copiah County, Mississippi No 30.5 (20.4, 40.5)
Crittenden County, Arkansas No 30.5 (21.7, 39.2)
East Carroll Parish, Louisiana No 30.5 (18.2, 42.8)
Franklin County, Alabama No 30.5 (23.0, 37.9)
Lawrence County, Tennessee No 30.5 (22.2, 38.8)
Lewis County, Tennessee No 30.5 (21.0, 39.9)
Attala County, Mississippi No 30.4 (21.8, 39.0)
Dyer County, Tennessee No 30.4 (22.3, 38.5)
Emmons County, North Dakota No 30.4 (18.4, 42.4)
Greenwood County, Kansas No 30.4 (20.1, 40.8)
Hampshire County, West Virginia No 30.4 (21.8, 38.9)
Harrison County, Ohio No 30.4 (21.1, 39.7)
Knox County, Kentucky No 30.4 (20.7, 40.1)
Menard County, Illinois No 30.4 (19.8, 40.9)
Pike County, Kentucky No 30.4 (21.5, 39.4)
Richmond County, North Carolina No 30.4 (21.9, 38.9)
Schuyler County, New York No 30.4 (21.4, 39.4)
Sumner County, Kansas No 30.4 (21.6, 39.2)
Vanderburgh County, Indiana No 30.4 (23.6, 37.2)
Whitley County, Indiana No 30.4 (21.4, 39.4)
Wood County, West Virginia No 30.4 (22.4, 38.5)
Caddo County, Oklahoma No 30.3 (21.7, 38.8)
Catahoula Parish, Louisiana No 30.3 (19.9, 40.7)
Cavalier County, North Dakota No 30.3 (20.4, 40.3)
Crawford County, Michigan No 30.3 (21.8, 38.8)
Fannin County, Texas No 30.3 (21.3, 39.3)
Hocking County, Ohio No 30.3 (21.8, 38.9)
Iowa County, Iowa No 30.3 (21.9, 38.8)
Karnes County, Texas No 30.3 (19.0, 41.5)
Maries County, Missouri No 30.3 (19.6, 40.9)
Martinsville City, Virginia No 30.3 (20.5, 40.1)
Montcalm County, Michigan No 30.3 (21.4, 39.1)
Morgan County, Illinois No 30.3 (21.4, 39.2)
Motley County, Texas No 30.3 (16.9, 43.6)
Obion County, Tennessee No 30.3 (21.9, 38.7)
Okmulgee County, Oklahoma No 30.3 (21.4, 39.1)
Ontonagon County, Michigan No 30.3 (19.1, 41.6)
Piatt County, Illinois No 30.3 (20.5, 40.2)
Platte County, Wyoming No 30.3 (21.2, 39.5)
Preston County, West Virginia No 30.3 (21.9, 38.7)
Switzerland County, Indiana No 30.3 (20.3, 40.2)
Tuscarawas County, Ohio No 30.3 (21.9, 38.7)
Chilton County, Alabama No 30.2 (21.1, 39.3)
Geneva County, Alabama No 30.2 (20.7, 39.7)
Gibson County, Tennessee No 30.2 (23.0, 37.3)
Henry County, Indiana No 30.2 (22.1, 38.2)
Huron County, Michigan No 30.2 (22.8, 37.6)
Kemper County, Mississippi No 30.2 (19.9, 40.5)
Logan County, Kentucky No 30.2 (21.5, 38.8)
Monroe County, Illinois No 30.2 (19.3, 41.1)
Monroe County, Mississippi No 30.2 (21.5, 38.8)
Pittsburg County, Oklahoma No 30.2 (22.0, 38.3)
Pushmataha County, Oklahoma No 30.2 (20.9, 39.6)
Sullivan County, Pennsylvania No 30.2 (18.3, 42.2)
Warren County, Georgia No 30.2 (19.7, 40.7)
Washita County, Oklahoma No 30.2 (21.1, 39.2)
Alleghany County and Clifton Forge City, Virginia No 30.1 (19.2, 40.9)
Fulton County, Arkansas No 30.1 (21.7, 38.6)
Grant County, Arkansas No 30.1 (21.6, 38.7)
Henderson County, Kentucky No 30.1 (21.7, 38.6)
Kimble County, Texas No 30.1 (19.2, 41.0)
Madison County, Illinois No 30.1 (22.5, 37.7)
Morris County, Kansas No 30.1 (20.3, 40.0)
Phillips County, Arkansas No 30.1 (20.4, 39.7)
Ringgold County, Iowa No 30.1 (20.0, 40.2)
Scioto County, Ohio No 30.1 (22.8, 37.4)
Shoshone County, Idaho No 30.1 (21.3, 39.0)
Barry County, Missouri No 30.0 (21.4, 38.6)
Calhoun County, Georgia No 30.0 (19.8, 40.2)
Callahan County, Texas No 30.0 (21.5, 38.5)
Carter County, Missouri No 30.0 (20.1, 40.0)
Darke County, Ohio No 30.0 (22.2, 37.9)
Dunn County, North Dakota No 30.0 (17.3, 42.7)
Greene County, Tennessee No 30.0 (21.3, 38.7)
Highland County, Ohio No 30.0 (21.7, 38.3)
Independence County, Arkansas No 30.0 (21.4, 38.6)
Kimball County, Nebraska No 30.0 (19.1, 40.9)
Lake County, Michigan No 30.0 (19.2, 40.8)
Marion County, South Carolina No 30.0 (22.2, 37.9)
Morrison County, Minnesota No 30.0 (21.1, 38.9)
Page County, Virginia No 30.0 (20.8, 39.2)
Potter County, Pennsylvania No 30.0 (20.9, 39.1)
Randolph County, Alabama No 30.0 (20.9, 39.0)
Scotland County, Missouri No 30.0 (19.4, 40.7)
Upshur County, West Virginia No 30.0 (21.6, 38.5)
Van Wert County, Ohio No 30.0 (21.1, 39.0)
Warren County, Indiana No 30.0 (20.5, 39.4)
Washington Parish, Louisiana No 30.0 (21.7, 38.3)
Westmoreland County, Pennsylvania No 30.0 (23.0, 36.9)
Edmunds County, South Dakota No 29.9 (18.3, 41.5)
Jefferson County, Ohio No 29.9 (21.2, 38.5)
Johnson County, Kentucky No 29.9 (20.3, 39.5)
Koochiching County, Minnesota No 29.9 (20.3, 39.4)
St. Francois County, Missouri No 29.9 (21.9, 38.0)
Stewart County, Georgia No 29.9 (18.7, 41.2)
Washington County, Maine No 29.9 (21.2, 38.6)
Wayne County, Mississippi No 29.9 (20.4, 39.3)
Butts County, Georgia No 29.8 (21.1, 38.4)
Cayuga County, New York No 29.8 (22.0, 37.5)
Cherokee County, North Carolina No 29.8 (21.2, 38.4)
Clay County, Arkansas No 29.8 (19.9, 39.7)
Clearwater County, Idaho No 29.8 (20.4, 39.2)
Dallas County, Arkansas No 29.8 (19.1, 40.5)
Lewis County, Missouri No 29.8 (19.6, 40.0)
McCurtain County, Oklahoma No 29.8 (21.0, 38.6)
Mitchell County, Texas No 29.8 (18.5, 41.0)
Nevada County, Arkansas No 29.8 (18.4, 41.2)
Page County, Iowa No 29.8 (20.7, 38.9)
Pennington County, Minnesota No 29.8 (20.6, 39.0)
Piscataquis County, Maine No 29.8 (21.3, 38.3)
Randolph County, Illinois No 29.8 (20.2, 39.4)
Red River Parish, Louisiana No 29.8 (19.9, 39.7)
Steuben County, Indiana No 29.8 (21.4, 38.2)
Sullivan County, Indiana No 29.8 (20.8, 38.8)
Tucker County, West Virginia No 29.8 (19.9, 39.7)
Union County, Indiana No 29.8 (20.7, 38.8)
Bollinger County, Missouri No 29.7 (19.9, 39.6)
Claiborne Parish, Louisiana No 29.7 (20.5, 38.9)
Clearwater County, Minnesota No 29.7 (20.1, 39.2)
Conecuh County, Alabama No 29.7 (20.5, 38.9)
Creek County, Oklahoma No 29.7 (21.8, 37.6)
Gratiot County, Michigan No 29.7 (21.3, 38.1)
Graves County, Kentucky No 29.7 (21.2, 38.1)
Hancock County, Georgia No 29.7 (18.2, 41.2)
Houston County, Tennessee No 29.7 (20.3, 39.1)
Jackson Parish, Louisiana No 29.7 (19.8, 39.6)
Leslie County, Kentucky No 29.7 (19.9, 39.5)
Lincoln County, West Virginia No 29.7 (20.5, 38.9)
Mahnomen County, Minnesota No 29.7 (19.4, 40.0)
Miami County, Indiana No 29.7 (20.5, 38.8)
Montgomery County, Kentucky No 29.7 (21.3, 38.0)
Otsego County, Michigan No 29.7 (20.9, 38.4)
Worth County, Georgia No 29.7 (20.9, 38.5)
Adair County, Iowa No 29.6 (19.5, 39.7)
Audrain County, Missouri No 29.6 (21.2, 37.9)
Boyd County, Kentucky No 29.6 (20.9, 38.2)
Clark County, Missouri No 29.6 (18.2, 41.0)
Early County, Georgia No 29.6 (19.4, 39.7)
Gallatin County, Kentucky No 29.6 (20.2, 39.1)
Grays Harbor County, Washington No 29.6 (21.6, 37.6)
Greenbrier County, West Virginia No 29.6 (21.1, 38.1)
Henry County, Missouri No 29.6 (19.8, 39.4)
Jay County, Indiana No 29.6 (22.9, 36.4)
Limestone County, Alabama No 29.6 (21.5, 37.6)
Morton County, Kansas No 29.6 (18.6, 40.6)
Mountrail County, North Dakota No 29.6 (20.8, 38.3)
Pearl River County, Mississippi No 29.6 (21.5, 37.6)
Pemiscot County, Missouri No 29.6 (20.6, 38.6)
Pike County, Alabama No 29.6 (20.9, 38.2)
Pulaski County, Indiana No 29.6 (20.7, 38.4)
Sabine County, Texas No 29.6 (20.0, 39.2)
Smith County, Tennessee No 29.6 (20.1, 39.0)
Somerset County, Pennsylvania No 29.6 (21.1, 38.2)
Wadena County, Minnesota No 29.6 (19.3, 39.8)
Wilkin County, Minnesota No 29.6 (18.5, 40.6)
Allegany County, Maryland No 29.5 (21.6, 37.3)
Auglaize County, Ohio No 29.5 (21.5, 37.5)
Baker County, Oregon No 29.5 (21.0, 38.1)
Bath County, Kentucky No 29.5 (21.0, 38.0)
Caldwell County, Missouri No 29.5 (19.3, 39.8)
Calhoun County, Florida No 29.5 (20.6, 38.4)
Clinton County, Kentucky No 29.5 (19.5, 39.6)
Coos County, Oregon No 29.5 (21.5, 37.6)
Delta County, Michigan No 29.5 (21.1, 37.9)
Dickens County, Texas No 29.5 (18.5, 40.4)
Fayette County, Indiana No 29.5 (21.3, 37.7)
Fentress County, Tennessee No 29.5 (20.9, 38.1)
Greenup County, Kentucky No 29.5 (20.6, 38.4)
Lanier County, Georgia No 29.5 (19.0, 40.0)
Le Flore County, Oklahoma No 29.5 (20.1, 38.9)
Lincoln County, Tennessee No 29.5 (20.5, 38.4)
Miller County, Georgia No 29.5 (19.9, 39.2)
Osborne County, Kansas No 29.5 (19.4, 39.6)
Russell County, Alabama No 29.5 (20.8, 38.2)
Schuylkill County, Pennsylvania No 29.5 (21.2, 37.7)
Simpson County, Mississippi No 29.5 (21.1, 37.9)
Wheeler County, Texas No 29.5 (18.5, 40.5)
Butte County, South Dakota No 29.4 (19.4, 39.4)
Decatur County, Georgia No 29.4 (20.8, 38.0)
Douglas County, South Dakota No 29.4 (17.5, 41.3)
Fayette County, Iowa No 29.4 (20.8, 37.9)
Greene County, Arkansas No 29.4 (20.5, 38.4)
Henry County, Alabama No 29.4 (20.2, 38.5)
Hopkins County, Kentucky No 29.4 (20.5, 38.2)
Johnson County, Illinois No 29.4 (19.1, 39.8)
Jones County, Texas No 29.4 (19.0, 39.8)
Lawrence County, Mississippi No 29.4 (18.8, 39.9)
Logan County, Oklahoma No 29.4 (19.4, 39.4)
Marion County, Kansas No 29.4 (20.4, 38.4)