Health Inequality Project

Local Area Rankings

The table below shows a list of the 100 most populated commuting zones or counties in the United States. You can toggle the buttons below to show a list of areas ranked according to the race-adjusted life expectancies of their residents in the bottom quartile of the U.S. income distribution. You can also download an Excel file containing all three ranked lists.

Commuting Zones; Level of Life Expectancy
Commuting Zones; Annual Change in Life Expectancy
Counties; Level of Life Expectancy

Life Expectancy at Age 40 (race-adjusted)
100 Most Populated Commuting Zones, Ranked by Average Bottom Quartile Life Expectancy
Rank	Commuting Zone	State	All	Men	Women
1	New York City	NY	81.8	79.5	84
2	Santa Barbara	CA	81.7	79.4	84
3	San Jose	CA	81.6	79.5	83.7
4	Miami	FL	81.2	78.3	84.2
5	Los Angeles	CA	81.1	79	83.2
6	San Diego	CA	81.1	78.8	83.4
7	San Francisco	CA	80.9	78.8	83
8	Santa Rosa	CA	80.8	79	82.6
9	Newark	NJ	80.7	78.2	83.2
10	Port St. Lucie	FL	80.7	78	83.3
11	Boston	MA	80.5	78.1	83
12	Washington DC	DC	80.5	78.1	82.8
13	Cape Coral	FL	80.4	77.8	83
14	Portland	ME	80.4	77.6	83.1
15	Chicago	IL	80.3	77.9	82.7
16	Orlando	FL	80.2	77.5	83
17	Portland	OR	80.1	77.7	82.6
18	Providence	RI	80.1	77.1	83.1
19	Brownsville	TX	80.1	77.5	82.7
20	Modesto	CA	80	78	82
21	Atlanta	GA	80	77.4	82.7
22	Springfield	MA	80	77.3	82.7
23	Bridgeport	CT	80	77.4	82.6
24	Eugene	OR	80	77.6	82.3
25	Spokane	WA	79.9	77.7	82.2
26	Manchester	NH	79.9	77.2	82.6
27	Fresno	CA	79.9	77.9	81.8
28	Sarasota	FL	79.8	77	82.7
29	Austin	TX	79.8	77.3	82.3
30	Seattle	WA	79.7	77.4	82.1
31	Dallas	TX	79.7	77.3	82
32	Denver	CO	79.7	77.3	82
33	Poughkeepsie	NY	79.6	77.1	82.2
34	Phoenix	AZ	79.6	77	82.2
35	Minneapolis	MN	79.6	77.4	81.8
36	Raleigh	NC	79.6	76.6	82.5
37	Sacramento	CA	79.5	77.5	81.5
38	Tucson	AZ	79.5	77	82.1
39	Salt Lake City	UT	79.5	76.8	82.2
40	Canton	OH	79.5	76.5	82.4
41	Buffalo	NY	79.4	76.6	82.3
42	Mobile	AL	79.4	75.9	82.8
43	Toms River	NJ	79.4	76.4	82.3
44	New Orleans	LA	79.4	76.3	82.5
45	Columbia	SC	79.3	76.2	82.5
46	Baton Rouge	LA	79.3	76	82.6
47	Charlotte	NC	79.3	76.2	82.3
48	Houston	TX	79.2	76.7	81.8
49	Greensboro	NC	79.2	76.1	82.4
50	Syracuse	NY	79.2	76.8	81.7
51	Grand Rapids	MI	79.2	76.6	81.8
52	Erie	PA	79.1	76.3	82
53	Madison	WI	79.1	76.8	81.4
54	El Paso	TX	79.1	76.4	81.7
55	Youngstown	OH	79.1	75.9	82.2
56	Lakeland	FL	79.1	76.3	81.9
57	Pensacola	FL	79	76.1	82
58	Fayetteville	NC	79	75.9	82.1
59	Albany	NY	79	76.2	81.7
60	Pittsburgh	PA	78.9	75.9	82
61	Allentown	PA	78.9	75.6	82.2
62	Cleveland	OH	78.9	76	81.8
63	Bakersfield	CA	78.9	76.7	81.1
64	Reading	PA	78.9	75.9	81.9
65	Scranton	PA	78.9	75.6	82.2
66	Greenville	SC	78.8	75.6	82.1
67	Richmond	VA	78.8	75.9	81.7
68	Tampa	FL	78.8	75.8	81.8
69	Harrisburg	PA	78.8	75.8	81.8
70	Philadelphia	PA	78.7	76.1	81.4
71	Birmingham	AL	78.7	75.5	81.9
72	Jacksonville	FL	78.7	75.5	81.8
73	Virginia Beach	VA	78.7	75.6	81.7
74	Memphis	TN	78.6	75.4	81.8
75	Baltimore	MD	78.6	75.6	81.6
76	Milwaukee	WI	78.6	75.7	81.4
77	Fort Worth	TX	78.5	75.8	81.2
78	Omaha	NE	78.4	75.7	81.1
79	Kansas City	MO	78.4	75.8	81
80	St. Louis	MO	78.4	75.5	81.2
81	Nashville	TN	78.4	75.4	81.4
82	Rockford	IL	78.3	75.6	81
83	Albuquerque	NM	78.3	75.5	81.1
84	Knoxville	TN	78.3	75.1	81.4
85	South Bend	IN	78.2	75.2	81.1
86	Columbus	OH	78.2	75.4	80.9
87	Des Moines	IA	78.2	75.7	80.6
88	Honolulu	HI	78.2	76	80.3
89	Dayton	OH	78.1	75.1	81
90	Little Rock	AR	78	75.4	80.7
91	San Antonio	TX	78	75.2	80.8
92	Louisville	KY	77.9	74.9	80.9
93	Toledo	OH	77.9	74.9	80.8
94	Cincinnati	OH	77.9	75.2	80.5
95	Detroit	MI	77.7	74.8	80.5
96	Tulsa	OK	77.6	74.9	80.3
97	Indianapolis	IN	77.6	74.6	80.6
98	Oklahoma City	OK	77.6	75	80.2
99	Las Vegas	NV	77.6	75.1	80
100	Gary	IN	77.4	74.2	80.7

Annual Change in Life Expectancy at Age 40 (race-adjusted)
100 Most Populated Commuting Zones, Ranked by Trend in Bottom Quartile Life Expectancy
Rank	Commuting Zone	State	All	Men	Women
1	Toms River	NJ	0.38	0.45	0.3
2	Birmingham	AL	0.29	0.2	0.37
3	Richmond	VA	0.26	0.26	0.26
4	Syracuse	NY	0.25	0.28	0.21
5	Cincinnati	OH	0.24	0.27	0.21
6	Fayetteville	NC	0.24	0.09	0.39
7	Springfield	MA	0.23	0.22	0.25
8	Gary	IN	0.22	0.24	0.21
9	Scranton	PA	0.21	0.1	0.32
10	Honolulu	HI	0.21	0.04	0.38
11	Portland	ME	0.2	0.1	0.3
12	Sacramento	CA	0.2	0.2	0.2
13	New York City	NY	0.2	0.19	0.2
14	Boston	MA	0.19	0.15	0.23
15	Madison	WI	0.19	0.08	0.3
16	Louisville	KY	0.19	0.26	0.12
17	Seattle	WA	0.17	0.13	0.22
18	Bridgeport	CT	0.16	0.09	0.23
19	Allentown	PA	0.16	-0.05	0.37
20	Albany	NY	0.16	0.18	0.14
21	Mobile	AL	0.16	0.01	0.31
22	New Orleans	LA	0.16	0.17	0.15
23	Raleigh	NC	0.15	0.21	0.08
24	Salt Lake City	UT	0.15	0.13	0.16
25	Portland	OR	0.15	0.17	0.12
26	Dallas	TX	0.15	0.1	0.19
27	Washington DC	DC	0.15	0.17	0.12
28	Manchester	NH	0.15	0.18	0.11
29	Providence	RI	0.14	0.08	0.21
30	Chicago	IL	0.14	0.16	0.12
31	San Francisco	CA	0.14	0.17	0.11
32	Columbia	SC	0.14	0.21	0.07
33	Atlanta	GA	0.14	0.14	0.14
34	Fresno	CA	0.13	0.12	0.14
35	Charlotte	NC	0.13	0.13	0.13
36	Columbus	OH	0.13	0.13	0.12
37	St. Louis	MO	0.12	0.18	0.07
38	Poughkeepsie	NY	0.12	0.22	0.03
39	Grand Rapids	MI	0.12	0.12	0.12
40	Denver	CO	0.11	0.05	0.17
41	Indianapolis	IN	0.11	0.23	-0.01
42	Buffalo	NY	0.11	0.17	0.05
43	Greensboro	NC	0.1	0.11	0.1
44	Cleveland	OH	0.1	0.14	0.06
45	Philadelphia	PA	0.1	0.07	0.14
46	San Diego	CA	0.1	0.05	0.15
47	Newark	NJ	0.1	0.17	0.03
48	San Antonio	TX	0.1	0.03	0.16
49	Los Angeles	CA	0.09	0.06	0.13
50	Toledo	OH	0.09	0.03	0.15
51	Greenville	SC	0.09	0.17	0.01
52	South Bend	IN	0.09	0.06	0.12
53	Detroit	MI	0.09	0.12	0.05
54	Baltimore	MD	0.09	0.12	0.05
55	Virginia Beach	VA	0.09	0.08	0.1
56	Minneapolis	MN	0.09	0.06	0.11
57	Reading	PA	0.08	0.1	0.07
58	Phoenix	AZ	0.08	0.01	0.15
59	Houston	TX	0.08	0.07	0.09
60	Spokane	WA	0.08	0.02	0.13
61	Santa Rosa	CA	0.08	0.05	0.1
62	Las Vegas	NV	0.07	0.02	0.13
63	Dayton	OH	0.07	0.08	0.07
64	Nashville	TN	0.07	0.1	0.04
65	San Jose	CA	0.07	0.12	0.02
66	Brownsville	TX	0.06	-0.17	0.29
67	Kansas City	MO	0.06	0.12	0.01
68	Fort Worth	TX	0.05	0.04	0.07
69	Modesto	CA	0.05	-0.04	0.15
70	Youngstown	OH	0.05	0.11	0
71	Orlando	FL	0.05	0.18	-0.07
72	Harrisburg	PA	0.05	0.06	0.03
73	Omaha	NE	0.04	0.08	0
74	Eugene	OR	0.03	0	0.07
75	Milwaukee	WI	0.03	0.05	0.02
76	Rockford	IL	0.03	0.09	-0.03
77	Lakeland	FL	0.01	0.05	-0.02
78	Memphis	TN	0.01	-0.01	0.03
79	Jacksonville	FL	0	-0.08	0.07
80	Tulsa	OK	-0.01	-0.04	0.02
81	Port St. Lucie	FL	-0.01	0	-0.01
82	El Paso	TX	-0.01	-0.09	0.06
83	Erie	PA	-0.03	-0.11	0.05
84	Oklahoma City	OK	-0.03	0.03	-0.1
85	Canton	OH	-0.04	-0.02	-0.05
86	Baton Rouge	LA	-0.04	-0.08	0.01
87	Austin	TX	-0.04	0.02	-0.1
88	Santa Barbara	CA	-0.04	-0.11	0.03
89	Pittsburgh	PA	-0.04	-0.01	-0.07
90	Little Rock	AR	-0.06	0.04	-0.15
91	Cape Coral	FL	-0.07	0.05	-0.19
92	Miami	FL	-0.07	-0.08	-0.06
93	Tucson	AZ	-0.07	-0.08	-0.07
94	Albuquerque	NM	-0.08	-0.13	-0.03
95	Sarasota	FL	-0.08	-0.09	-0.08
96	Des Moines	IA	-0.1	-0.02	-0.19
97	Bakersfield	CA	-0.12	-0.22	-0.02
98	Knoxville	TN	-0.12	-0.13	-0.11
99	Pensacola	FL	-0.15	-0.16	-0.15
100	Tampa	FL	-0.17	-0.16	-0.18

Life Expectancy at Age 40 (race-adjusted)
100 Most Populated Counties, Ranked by Average Bottom Quartile Life Expectancy
Rank	County	State	All	Men	Women
1	Queens	NY	82.6	80.2	85
2	Kings	NY	82.6	80.3	84.8
3	Montgomery	MD	82.2	79.9	84.5
4	Nassau	NY	82	79.8	84.2
5	Bergen	NJ	81.9	79.5	84.3
6	New York	NY	81.8	79.8	83.9
7	Westchester	NY	81.8	79.8	83.9
8	Ventura	CA	81.8	80.1	83.5
9	Orange	CA	81.6	79.6	83.6
10	San Francisco	CA	81.6	79.3	83.9
11	Suffolk	MA	81.5	79.4	83.6
12	Los Angeles	CA	81.5	79.3	83.7
13	Santa Clara	CA	81.5	79.2	83.7
14	Fairfax	VA	81.4	79.3	83.4
15	Dupage	IL	81.3	79.2	83.5
16	Dade	FL	81.3	78.2	84.4
17	San Mateo	CA	81.3	79	83.5
18	Broward	FL	81.2	78.4	83.9
19	DeKalb	GA	81.2	78.4	83.9
20	Palm Beach	FL	81.1	78.5	83.7
21	San Diego	CA	81.1	78.8	83.4
22	Fairfield	CT	80.9	78.7	83.2
23	Suffolk	NY	80.8	78.6	83
24	Alameda	CA	80.7	78.7	82.8
25	Middlesex	MA	80.7	77.9	83.5
26	Essex	MA	80.7	78	83.3
27	Middlesex	NJ	80.6	78.2	83.1
28	Hidalgo	TX	80.6	77.9	83.3
29	Gwinnett	GA	80.6	78.1	83
30	King	WA	80.5	78.2	82.7
31	Hudson	NJ	80.4	77.6	83.3
32	Essex	NJ	80.4	77.5	83.4
33	Norfolk	MA	80.4	78.2	82.5
34	Contra Costa	CA	80.4	78.3	82.4
35	Bronx	NY	80.3	77.9	82.7
36	Monroe	NY	80.3	77.9	82.7
37	Cook	IL	80.3	77.8	82.8
38	Orange	FL	80.3	77.4	83.2
39	Mecklenburg	NC	80.2	77.1	83.4
40	Wake	NC	80.2	77.9	82.5
41	Monmouth	NJ	80.1	77.1	83.1
42	Lake	IL	80.1	78	82.2
43	Providence	RI	80.1	77.2	83
44	Hennepin	MN	80	77.6	82.4
45	Riverside	CA	79.9	77.8	82
46	Cobb	GA	79.9	77.8	81.9
47	Travis	TX	79.8	77.2	82.5
48	Fulton	GA	79.8	77.1	82.5
49	Fresno	CA	79.8	77.9	81.7
50	Hartford	CT	79.8	77	82.5
51	Maricopa	AZ	79.7	77.1	82.3
52	New Haven	CT	79.6	77	82.3
53	Multnomah	OR	79.6	77.3	82
54	Montgomery	PA	79.6	76.9	82.4
55	Dallas	TX	79.6	77.3	82
56	Prince Georges	MD	79.6	77.5	81.8
57	Salt Lake	UT	79.6	76.9	82.3
58	Bucks	PA	79.6	76.7	82.4
59	Pima	AZ	79.5	76.8	82.2
60	Snohomish	WA	79.4	77.4	81.4
61	Harris	TX	79.4	76.9	81.8
62	Kent	MI	79.4	76.9	81.9
63	Worcester	MA	79.3	76.8	81.8
64	El Paso	TX	79.3	76.6	81.9
65	Washington	DC	79.3	76.5	82
66	San Bernardino	CA	79.2	76.9	81.4
67	Pinellas	FL	79	76	82
68	Sacramento	CA	79	77	80.9
69	St Louis	MO	78.9	76.5	81.4
70	Erie	NY	78.9	75.9	82
71	Cuyahoga	OH	78.9	76.1	81.8
72	Kern	CA	78.9	76.7	81.1
73	Oakland	MI	78.7	76.2	81.3
74	Jefferson	AL	78.7	75.6	81.8
75	Hillsborough	FL	78.7	75.6	81.7
76	Tarrant	TX	78.6	76	81.3
77	Shelby	TN	78.6	75.4	81.8
78	Baltimore	MD	78.6	75.6	81.6
79	San Joaquin	CA	78.6	76.7	80.4
80	Allegheny	PA	78.6	75.6	81.5
81	Duval	FL	78.5	75.3	81.6
82	Bernalillo	NM	78.4	75.7	81.1
83	Philadelphia	PA	78.3	75.6	81
84	Jackson	MO	78.2	75.5	80.9
85	Milwaukee	WI	78.2	75.4	81
86	Pierce	WA	78.2	75.7	80.7
87	Honolulu	HI	78.2	76	80.3
88	Baltimore City	MD	78.1	75	81.3
89	Davidson	TN	78.1	75.3	80.8
90	Jefferson	KY	77.9	75	80.9
91	Franklin	OH	77.9	75.3	80.5
92	Tulsa	OK	77.8	75.3	80.3
93	Montgomery	OH	77.8	74.8	80.8
94	Hamilton	OH	77.8	75.4	80.2
95	Bexar	TX	77.8	75	80.5
96	Clark	NV	77.6	75.2	80
97	Oklahoma	OK	77.5	74.9	80
98	Macomb	MI	77.5	74.6	80.3
99	Marion	IN	77.1	74.4	79.9
100	Wayne	MI	77.1	74.1	80.1