| County and state |
2014: Life expectancy (years) [3] |
1980: Life expectancy (years)[4] |
Majority population: 2014 (%}[5] |
Other factors
|
| 1. Oglala Lakota County (Shannon County), South Dakota |
66.81 |
61.25 |
Native American: 92.9% |
The county lies entirely within the Pine Ridge Indian Reservation
|
| 2. Union County, Florida |
67.57 |
65.84 |
Non-Hispanic White: 70.7% |
Large prison population
|
| 3. Todd County, South Dakota |
68.52 |
63.62 |
Native American: 86.5% |
The county lies entirely within the Rosebud Indian Reservation
|
| 4. Sioux County, North Dakota |
68.59 |
66.01 |
Native American: 82.0% |
The county lies entirely within the Standing Rock Indian Reservation
|
| 5. Buffalo County, South Dakota |
69.05 |
64.49 |
Native American: 79.4% |
The Crow Creek Indian Reservation makes up the majority of Buffalo County.
|
| 6. Owsley County, Kentucky |
70.21 |
72.41 |
Non-Hispanic White: 97.9% |
Poorest county in the nation, 2010 per capita income was $10,742; declining life expectancy
|
| 7. Breathitt County, Kentucky |
70.22 |
71.24 |
Non-Hispanic White: 97.5% |
As of 2014 had the highest morbidity rate in the state; declining life expectancy
|
| 8. McDowell County, West Virginia |
70.27 |
69.22 |
Non-Hispanic White: 89.0% |
High rates of drug abuse and poverty
|
| 9. Perry County, Kentucky |
70.60 |
71.17 |
Non-Hispanic White: 95.9% |
High rates of smoking and obesity and a low level of physical activity; declining life expectancy
|
| 10. Tunica County, Mississippi |
70.93 |
68.06 |
African American: 75.1% |
|
| 11. Holmes County, Mississippi |
71.01 |
69.42 |
African American: 82.9% |
lowest life expectancy of any county in the United States, for both men and women.[6] |
| 12. Dewey County, South Dakota |
71.02 |
68.47 |
Native American: 72.9% |
Most of county lies in the Cheyenne River Indian Reservation
|
| 13. Coahoma County, Mississippi |
71.14 |
68.99 |
African American: 75.1% |
|
| 14. Leslie County, Kentucky |
71.17 |
72.55 |
Non-Hispanic White: 98.2% |
declining life expectancy
|
| 15. Roosevelt County, Montana |
71.20 |
69.92 |
Native Americans: 60.4% |
|
| 16. Kusilvak Census Area, Alaska |
70.83 |
66.51 |
Native Americans: 96.93% |
|
| 17. Wolfe County, Kentucky |
71.15 |
71.10 |
Non-Hispanic White: 98.0% |
|
| 18. Phillips County, Arkansas |
71.28 |
68.98 |
African American: 62.0% |
|
| 19. Mingo County, West Virginia |
71.38 |
69.39 |
Non-Hispanic White: 96.2% |
|
| 20. Harlan County, Kentucky |
71.47 |
70.84 |
Non-Hispanic White: 95.3% |
|
| 21. Madison Parish, Louisiana |
71.57 |
69.94 |
African American: 62.2% |
|
| 21. Walker County, Alabama |
71.57 |
71.79 |
Non-Hispanic White: 91.6% |
declining life expectancy
|
| 23. Powell County, Kentucky |
71.60 |
73.41 |
Non-Hispanic White: 96.8% |
declining life expectancy
|
| 24. Lee County, Kentucky |
71.61 |
73.06 |
Non-Hispanic White: 96.0% |
declining life expectancy
|
| 24. Sunflower County, Mississippi |
71.61 |
70.43 |
African American: 72.8% |
|
| 26. Bolivar County, Mississippi |
71.72 |
69.30 |
African American: 64.7% |
|
| 27. Clay County, Kentucky |
71.78 |
73.75 |
Non-Hispanic White: 92.6% |
declining life expectancy
|
| 28, Washington County, Mississippi |
71.81 |
69.58 |
African American: 72.3% |
|
| 29. Humphreys County, Mississippi |
71.90 |
68.85 |
African American: 74.7% |
|
| 30. Floyd County, Kentucky |
71.97 |
71.82 |
Non-Hispanic White: 98.0% |
|
| 31. Marlboro County, South Carolina |
72.02 |
69.28 |
African American: 51.2% |
|
| 32. Pemiscot County, Missouri |
72.04 |
69.61 |
Non-Hispanic White: 69.2% |
|
| 33. Corson County, South Dakota |
72.13 |
68.82 |
Native American: 64.8% |
|
| 34. Baltimore City, Maryland |
72.14 |
67.60 |
African American: 63.3% |
|
| 34. Poinsett County, Arkansas |
72.14 |
71.33 |
Non-Hispanic White: 87.8% |
|
| 36. East Carroll Parish, Louisiana |
72.17 |
69.91 |
African American: 68.0% |
|
| 37. Wilcox County, Alabama |
72.21 |
70.41 |
African American: 71.2% |
|
| 38. Logan County, West Virginia |
72.22 |
70.66 |
Non-Hispanic White: 95.9% |
|
| 39. Perry County, Alabama |
72.31` |
72.71 |
African American: 67.6% |
declining life expectancy
|
| 39. Crittenden County, Arkansas |
72.31 |
69.57 |
African American: 51.5% |
|
| 41. Letcher County, Kentucky |
72.35 |
71.62 |
Non-Hispanic White 97.9% |
|
| 42, Wilkinson County, Mississippi |
72.38 |
69.42 |
African American 70.0% |
|
| 43. Dallas County, Alabama |
72.39 |
70.77 |
African American: 69.6% |
|
| 44. Pike County, Kentucky |
72.41 |
71.59 |
Non-Hispanic White: 97.3% |
|
| 45. Grundy County, Tennessee |
72.46 |
72.72 |
Non-Hispanic White: 96.6% |
declining life expectancy
|
| 46. Lowndes County, Alabama |
72.57 |
70.62 |
African American: 73.1% |
|
| 47. Whitley County, Kentucky |
72.59 |
71.08 |
Non-Hispanic White: 97.1% |
|
| 48. Magoffin County, Kentucky |
72.60 |
71.93 |
Non-Hispanic White: 98.0% |
|
| 49. Dunklin County, Missouri |
72.62 |
71.78 |
Non-Hispanic White: 81.4% |
|
| 50. East Feliciana Parish, Louisiana |
72.64 |
72.39 |
Non-Hispanic White: 53.5%
|
| United States (all) |
79.08 |
73.75 |
Non-Hispanic White: 62.1% |
|
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