The purpose of the County Health Rankings is to compare counties within states. We discourage comparisons between states for several reasons:

  1. The County Health Rankings are not intended to be a national report that finds the 10 or 15 least healthy counties in the nation and focuses only on that. The Rankings are intended to provide a tool for communities in each state as a call to identify opportunities for improvement
  2. We focus on state-specific county rankings, and we do not provide any county rankings across state boundaries.

If you would like to compare specific counties from different states, please visit our Compare Counties tool by selecting a state and then the “Compare Counties” tab. Users should refer to our guidelines for comparing measures across states to find the differences that occur for some measures (such as high school graduation rates and violent crime).