36. Oklahoma: Oklahoma City
> Premature death rate (per 100,000): 419.1 (state: 458.3)
> Adult obesity rate: 32.1% (state: 33.3%)
> Rate of uninsured people under 65: 14.4% (state: 16.0%)
> Median household income: $56,260 (state: $50,051)
All four of Oklahoma’s metropolitan areas have premature age-adjusted mortality rates — one of the clearest indicators of the overall health of a population — higher than the majority of U.S. metro areas. But of them, Oklahoma City has the lowest, with 419 deaths before the age of 75 per 100,000 people.
Smoking is the leading cause of preventable death in the United States, and among Oklahoma’s four metro areas, the capital has the lowest adult smoking rate, at 15.9%, compared to a national smoking rate of 17.0%.
37. Oregon: Corvallis
> Premature death rate (per 100,000): 213.6 (state: 309.0)
> Adult obesity rate: 26.5% (state: 28.3%)
> Rate of uninsured people under 65: 6.6% (state: 7.4%)
> Median household income: $60,260 (state: $60,212)
Corvallis is the healthiest metro area in Oregon and one of the healthiest in the United States. While no part of the country has been spared from the opioid epidemic, there are 52 injury deaths — which include drug overdoses — in Corvallis for every 100,000 people annually, the lowest rate of any metro area in the state and well below the rate of 72 per 100,000 across Oregon as a whole.
Adults in Corvallis are also more likely to exercise regularly than those in nearly every other metro area in the country. Just 11.5% of adults in the city lead completely sedentary lives, well below the physical inactivity rates of 15.2% statewide and 22.2% nationwide.
38. Pennsylvania: State College
> Premature death rate (per 100,000): 214.6 (state: 359.2)
> Adult obesity rate: 26.9% (state: 29.9%)
> Rate of uninsured people under 65: 7.2% (state: 6.8%)
> Median household income: $55,895 (state: $59,195)
Residents of State College, Pennsylvania, are more likely to live long, healthy lives that those in any other metro area in the state. The premature death rate of 215 deaths before age 75 for every 100,000 people is lower than in every other metro area in Pennsylvania and lower than the statewide rate of 359 per 100,000.
Longevity in the area is due in part to healthier lifestyles. For example, about 83% of metro area adults get regular exercise, the largest share of the 18 metro areas in the state and well above the 78% of adults statewide. Regular exercise can help in maintaining a healthy weight, and in State College, just 26.9% of adults are obese, the smallest share in the state and well below the 29.9% obesity rate across Pennsylvania.
39. Rhode Island: Providence-Warwick
> Premature death rate (per 100,000): 322.8 (state: 307.3)
> Adult obesity rate: 27.6% (state: 27.0%)
> Rate of uninsured people under 65: 4.5% (state: 5.1%)
> Median household income: $65,226 (state: $63,870)
The Providence-Warwick metro area encompasses all five counties in Rhode Island as well as Bristol County in Massachusetts. As the only metro area in Rhode Island, Providence ranks as the healthiest metro area in the state by default, and matches the state as a whole in most measures of health behaviors and outcomes.
For example, 27.6% of adults in Providence are obese compared to 27.0% of adults across the state as a whole. Similarly, 14.5% of adults in Providence report being in fair or poor health, closely in line with the 14.8% of adults across all of Rhode Island who do.
40. South Carolina: Hilton Head Island-Bluffton-Beaufort
> Premature death rate (per 100,000): 276.8 (state: 414.2)
> Adult obesity rate: 24.7% (state: 32.4%)
> Rate of uninsured people under 65: 14.6% (state: 12.1%)
> Median household income: $55,430 (state: $50,570)
While South Carolina is one of the least healthy states, the Hilton Head Island metro area is one of the healthiest cities nationwide. Just 13.3% of adults in Hilton Head smoke, the lowest smoking rate of any city in South Carolina and far lower than both the 20.0% state and 17.0% national smoking rates. Additionally, just 24.7% of adults are obese, compared to the obesity rate of 32.4% statewide and 28.5% nationwide.
Tobacco use and obesity are the two leading causes of preventable death in the United States. In the Hilton Head Island metro area, 277 in every 100,000 residents die before the age of 75 — far less than the state premature death rate of 414 per 100,000 and the least of any city in South Carolina.