America’s Least Healthy Cities

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5. Florence, South Carolina
> Adults in fair or poor health: 18.4% (#51 of 384 MSAs)
> Adult smoking rate: 20.8% (#65 of 384 MSAs)
> Adult obesity rate: 41.7% (#13 of 384 MSAs)
> Median household income: $49,724 (#353 of 384 MSAs)

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4. Huntington-Ashland, West Virginia-Kentucky-Ohio
> Adults in fair or poor health: 19.4% (#27 of 384 MSAs)
> Adult smoking rate: 24.0% (#6 of 384 MSAs)
> Adult obesity rate: 39.1% (#45 of 384 MSAs)
> Median household income: $50,456 (#348 of 384 MSAs)

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3. Pine Bluff, Arkansas
> Adults in fair or poor health: 22.8% (#6 of 384 MSAs)
> Adult smoking rate: 23.1% (#15 of 384 MSAs)
> Adult obesity rate: 42.9% (#4 of 384 MSAs)
> Median household income: $46,826 (#372 of 384 MSAs)

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2. Charleston, West Virginia
> Adults in fair or poor health: 19.8% (#23 of 384 MSAs)
> Adult smoking rate: 24.2% (#5 of 384 MSAs)
> Adult obesity rate: 39.0% (#54 of 384 MSAs)
> Median household income: $53,549 (#323 of 384 MSAs)

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1. Beckley, West Virginia
> Adults in fair or poor health: 21.7% (#8 of 384 MSAs)
> Adult smoking rate: 25.8% (#2 of 384 MSAs)
> Adult obesity rate: 41.8% (#12 of 384 MSAs)
> Median household income: $38,737 (#384 of 384 MSAs)