{
 "title": "Top 500 US cities by population \u2014 GeoHealth index",
 "generated": "2026-06-27",
 "count": 500,
 "rows": [
  {
   "rank": 1,
   "city": "New York",
   "state": "NY",
   "fips": "3651000",
   "population": 8804190,
   "health_index": 39.8,
   "band": "low",
   "top_drivers": "lacks emotional support (94); loneliness (93); housing insecurity (90)"
  },
  {
   "rank": 2,
   "city": "Los Angeles",
   "state": "CA",
   "fips": "0644000",
   "population": 3898747,
   "health_index": 44.1,
   "band": "elevated",
   "top_drivers": "loneliness (98); no colon screening (95); lacks emotional support (94)"
  },
  {
   "rank": 3,
   "city": "Chicago",
   "state": "IL",
   "fips": "1714000",
   "population": 2746388,
   "health_index": 40.3,
   "band": "elevated",
   "top_drivers": "no colon screening (93); housing insecurity (90); lacks emotional support (88)"
  },
  {
   "rank": 4,
   "city": "Houston",
   "state": "TX",
   "fips": "4835000",
   "population": 2304580,
   "health_index": 44.4,
   "band": "elevated",
   "top_drivers": "no colon screening (94); no dental visit (88); no annual checkup (87)"
  },
  {
   "rank": 5,
   "city": "Phoenix",
   "state": "AZ",
   "fips": "0455000",
   "population": 1608139,
   "health_index": 40.5,
   "band": "elevated",
   "top_drivers": "BP-med non-adherence (94); no annual checkup (92); no colon screening (90)"
  },
  {
   "rank": 6,
   "city": "Philadelphia",
   "state": "PA",
   "fips": "4260000",
   "population": 1603797,
   "health_index": 62.5,
   "band": "elevated",
   "top_drivers": "short sleep (88); teeth lost (79); no dental visit (73)"
  },
  {
   "rank": 7,
   "city": "San Antonio",
   "state": "TX",
   "fips": "4865000",
   "population": 1434625,
   "health_index": 44.6,
   "band": "elevated",
   "top_drivers": "no annual checkup (90); short sleep (89); vision disability (86)"
  },
  {
   "rank": 8,
   "city": "San Diego",
   "state": "CA",
   "fips": "0666000",
   "population": 1386932,
   "health_index": 31.1,
   "band": "low",
   "top_drivers": "BP-med non-adherence (97); no annual checkup (90); lacks emotional support (89)"
  },
  {
   "rank": 9,
   "city": "Dallas",
   "state": "TX",
   "fips": "4819000",
   "population": 1304379,
   "health_index": 39.7,
   "band": "low",
   "top_drivers": "no colon screening (89); BP-med non-adherence (87); no cholesterol screening (84)"
  },
  {
   "rank": 10,
   "city": "San Jose",
   "state": "CA",
   "fips": "0668000",
   "population": 1013240,
   "health_index": 28.3,
   "band": "low",
   "top_drivers": "loneliness (96); no annual checkup (94); BP-med non-adherence (94)"
  },
  {
   "rank": 11,
   "city": "Austin",
   "state": "TX",
   "fips": "4805000",
   "population": 961855,
   "health_index": 20.8,
   "band": "low",
   "top_drivers": "BP-med non-adherence (97); binge drinking (93); no annual checkup (92)"
  },
  {
   "rank": 12,
   "city": "Jacksonville",
   "state": "FL",
   "fips": "1235000",
   "population": 949611,
   "health_index": 44.7,
   "band": "elevated",
   "top_drivers": "short sleep (94); no dental visit (79); mental distress (76)"
  },
  {
   "rank": 13,
   "city": "Fort Worth",
   "state": "TX",
   "fips": "4827000",
   "population": 918915,
   "health_index": 40,
   "band": "elevated",
   "top_drivers": "no annual checkup (91); no colon screening (91); BP-med non-adherence (91)"
  },
  {
   "rank": 14,
   "city": "Columbus",
   "state": "OH",
   "fips": "3918000",
   "population": 905748,
   "health_index": 46.8,
   "band": "elevated",
   "top_drivers": "loneliness (97); mental distress (86); no cholesterol screening (85)"
  },
  {
   "rank": 15,
   "city": "Indianapolis city (balance)",
   "state": "IN",
   "fips": "1836003",
   "population": 887642,
   "health_index": 52.9,
   "band": "elevated",
   "top_drivers": "asthma (86); utility shutoff risk (85); loneliness (83)"
  },
  {
   "rank": 16,
   "city": "Charlotte",
   "state": "NC",
   "fips": "3712000",
   "population": 874579,
   "health_index": 33.8,
   "band": "low",
   "top_drivers": "BP-med non-adherence (87); physical inactivity (77); housing insecurity (76)"
  },
  {
   "rank": 17,
   "city": "San Francisco",
   "state": "CA",
   "fips": "0667000",
   "population": 873965,
   "health_index": 27.2,
   "band": "low",
   "top_drivers": "loneliness (93); BP-med non-adherence (92); binge drinking (92)"
  },
  {
   "rank": 18,
   "city": "Seattle",
   "state": "WA",
   "fips": "5363000",
   "population": 737015,
   "health_index": 18.8,
   "band": "low",
   "top_drivers": "physical inactivity (100); BP-med non-adherence (98); no annual checkup (97)"
  },
  {
   "rank": 19,
   "city": "Denver",
   "state": "CO",
   "fips": "0820000",
   "population": 715522,
   "health_index": 21.9,
   "band": "low",
   "top_drivers": "binge drinking (100); BP-med non-adherence (98); no annual checkup (96)"
  },
  {
   "rank": 20,
   "city": "Washington",
   "state": "DC",
   "fips": "1150000",
   "population": 689545,
   "health_index": 29,
   "band": "low",
   "top_drivers": "binge drinking (100); physical inactivity (97); BP-med non-adherence (91)"
  },
  {
   "rank": 21,
   "city": "Nashville-Davidson metropolitan government (balance)",
   "state": "TN",
   "fips": "4752006",
   "population": 689447,
   "health_index": 38.3,
   "band": "low",
   "top_drivers": "depression (94); BP-med non-adherence (89); mental distress (85)"
  },
  {
   "rank": 22,
   "city": "Oklahoma City",
   "state": "OK",
   "fips": "4055000",
   "population": 681054,
   "health_index": 53.3,
   "band": "elevated",
   "top_drivers": "utility shutoff risk (85); housing insecurity (84); food insecurity (81)"
  },
  {
   "rank": 23,
   "city": "El Paso",
   "state": "TX",
   "fips": "4824000",
   "population": 678815,
   "health_index": 45.2,
   "band": "elevated",
   "top_drivers": "no colon screening (94); vision disability (92); no dental visit (86)"
  },
  {
   "rank": 24,
   "city": "Boston",
   "state": "MA",
   "fips": "2507000",
   "population": 675647,
   "health_index": 36.3,
   "band": "low",
   "top_drivers": "binge drinking (96); loneliness (95); BP-med non-adherence (91)"
  },
  {
   "rank": 25,
   "city": "Portland",
   "state": "OR",
   "fips": "4159000",
   "population": 652503,
   "health_index": 30.9,
   "band": "low",
   "top_drivers": "depression (98); BP-med non-adherence (97); physical inactivity (95)"
  },
  {
   "rank": 26,
   "city": "Las Vegas",
   "state": "NV",
   "fips": "3240000",
   "population": 641903,
   "health_index": 54.6,
   "band": "elevated",
   "top_drivers": "BP-med non-adherence (90); loneliness (89); short sleep (88)"
  },
  {
   "rank": 27,
   "city": "Detroit",
   "state": "MI",
   "fips": "2622000",
   "population": 639111,
   "health_index": 72.4,
   "band": "high",
   "top_drivers": "short sleep (99); utility shutoff risk (99); housing insecurity (99)"
  },
  {
   "rank": 28,
   "city": "Memphis",
   "state": "TN",
   "fips": "4748000",
   "population": 633104,
   "health_index": 65.7,
   "band": "elevated",
   "top_drivers": "short sleep (95); mental distress (92); vision disability (90)"
  },
  {
   "rank": 29,
   "city": "Baltimore",
   "state": "MD",
   "fips": "2404000",
   "population": 585708,
   "health_index": 57.9,
   "band": "elevated",
   "top_drivers": "loneliness (98); asthma (94); housing insecurity (93)"
  },
  {
   "rank": 30,
   "city": "Milwaukee",
   "state": "WI",
   "fips": "5553000",
   "population": 577222,
   "health_index": 59.1,
   "band": "elevated",
   "top_drivers": "asthma (94); lacks transport (93); food insecurity (92)"
  },
  {
   "rank": 31,
   "city": "Albuquerque",
   "state": "NM",
   "fips": "3502000",
   "population": 564559,
   "health_index": 43.3,
   "band": "elevated",
   "top_drivers": "no annual checkup (98); BP-med non-adherence (93); no colon screening (82)"
  },
  {
   "rank": 32,
   "city": "Tucson",
   "state": "AZ",
   "fips": "0477000",
   "population": 542629,
   "health_index": 53.1,
   "band": "elevated",
   "top_drivers": "BP-med non-adherence (92); no colon screening (90); no cholesterol screening (87)"
  },
  {
   "rank": 33,
   "city": "Fresno",
   "state": "CA",
   "fips": "0627000",
   "population": 542107,
   "health_index": 52.9,
   "band": "elevated",
   "top_drivers": "no annual checkup (93); BP-med non-adherence (92); no colon screening (92)"
  },
  {
   "rank": 34,
   "city": "Sacramento",
   "state": "CA",
   "fips": "0664000",
   "population": 524943,
   "health_index": 43.3,
   "band": "elevated",
   "top_drivers": "loneliness (96); no annual checkup (95); BP-med non-adherence (93)"
  },
  {
   "rank": 35,
   "city": "Kansas City",
   "state": "MO",
   "fips": "2938000",
   "population": 508090,
   "health_index": 51.2,
   "band": "elevated",
   "top_drivers": "utility shutoff risk (87); housing insecurity (84); lacks transport (82)"
  },
  {
   "rank": 36,
   "city": "Mesa",
   "state": "AZ",
   "fips": "0446000",
   "population": 504258,
   "health_index": 39.2,
   "band": "low",
   "top_drivers": "no annual checkup (85); BP-med non-adherence (85); physical inactivity (83)"
  },
  {
   "rank": 37,
   "city": "Atlanta",
   "state": "GA",
   "fips": "1304000",
   "population": 498715,
   "health_index": 36,
   "band": "low",
   "top_drivers": "loneliness (93); short sleep (86); BP-med non-adherence (84)"
  },
  {
   "rank": 38,
   "city": "Omaha",
   "state": "NE",
   "fips": "3137000",
   "population": 486051,
   "health_index": 32.7,
   "band": "low",
   "top_drivers": "binge drinking (93); no cholesterol screening (85); no annual checkup (77)"
  },
  {
   "rank": 39,
   "city": "Colorado Springs",
   "state": "CO",
   "fips": "0816000",
   "population": 478961,
   "health_index": 33.5,
   "band": "low",
   "top_drivers": "BP-med non-adherence (95); physical inactivity (88); asthma (86)"
  },
  {
   "rank": 40,
   "city": "Raleigh",
   "state": "NC",
   "fips": "3755000",
   "population": 467665,
   "health_index": 29.3,
   "band": "low",
   "top_drivers": "BP-med non-adherence (91); physical inactivity (88); depression (65)"
  },
  {
   "rank": 41,
   "city": "Long Beach",
   "state": "CA",
   "fips": "0643000",
   "population": 466742,
   "health_index": 43.4,
   "band": "elevated",
   "top_drivers": "loneliness (99); lacks emotional support (95); BP-med non-adherence (94)"
  },
  {
   "rank": 42,
   "city": "Virginia Beach",
   "state": "VA",
   "fips": "5182000",
   "population": 459470,
   "health_index": 37.2,
   "band": "low",
   "top_drivers": "loneliness (83); physical inactivity (77); BP-med non-adherence (75)"
  },
  {
   "rank": 43,
   "city": "Miami",
   "state": "FL",
   "fips": "1245000",
   "population": 442241,
   "health_index": 40.6,
   "band": "elevated",
   "top_drivers": "vision disability (92); no colon screening (90); no dental visit (84)"
  },
  {
   "rank": 44,
   "city": "Oakland",
   "state": "CA",
   "fips": "0653000",
   "population": 440646,
   "health_index": 40.3,
   "band": "elevated",
   "top_drivers": "loneliness (95); BP-med non-adherence (95); no annual checkup (91)"
  },
  {
   "rank": 45,
   "city": "Minneapolis",
   "state": "MN",
   "fips": "2743000",
   "population": 429954,
   "health_index": 33.7,
   "band": "low",
   "top_drivers": "BP-med non-adherence (97); no cholesterol screening (93); binge drinking (93)"
  },
  {
   "rank": 46,
   "city": "Tulsa",
   "state": "OK",
   "fips": "4075000",
   "population": 413066,
   "health_index": 59.6,
   "band": "elevated",
   "top_drivers": "utility shutoff risk (89); depression (88); housing insecurity (87)"
  },
  {
   "rank": 47,
   "city": "Bakersfield",
   "state": "CA",
   "fips": "0603526",
   "population": 403455,
   "health_index": 50.9,
   "band": "elevated",
   "top_drivers": "BP-med non-adherence (96); no colon screening (93); no annual checkup (92)"
  },
  {
   "rank": 48,
   "city": "Wichita",
   "state": "KS",
   "fips": "2079000",
   "population": 397532,
   "health_index": 51.4,
   "band": "elevated",
   "top_drivers": "no cholesterol screening (90); no annual checkup (85); utility shutoff risk (84)"
  },
  {
   "rank": 49,
   "city": "Arlington",
   "state": "TX",
   "fips": "4804000",
   "population": 394266,
   "health_index": 37.5,
   "band": "low",
   "top_drivers": "BP-med non-adherence (89); short sleep (88); no annual checkup (88)"
  },
  {
   "rank": 50,
   "city": "Louisville/Jefferson County metro government (balance)",
   "state": "KY",
   "fips": "2148006",
   "population": 386884,
   "health_index": 55.6,
   "band": "elevated",
   "top_drivers": "short sleep (64); no mammography (61); teeth lost (59)"
  },
  {
   "rank": 51,
   "city": "Aurora",
   "state": "CO",
   "fips": "0804000",
   "population": 386261,
   "health_index": 32.4,
   "band": "low",
   "top_drivers": "no annual checkup (96); BP-med non-adherence (94); no mammography (84)"
  },
  {
   "rank": 52,
   "city": "Tampa",
   "state": "FL",
   "fips": "1271000",
   "population": 384959,
   "health_index": 37.9,
   "band": "low",
   "top_drivers": "BP-med non-adherence (84); short sleep (79); no cholesterol screening (78)"
  },
  {
   "rank": 53,
   "city": "New Orleans",
   "state": "LA",
   "fips": "2255000",
   "population": 383997,
   "health_index": 57.2,
   "band": "elevated",
   "top_drivers": "loneliness (97); lacks emotional support (94); utility shutoff risk (94)"
  },
  {
   "rank": 54,
   "city": "Cleveland",
   "state": "OH",
   "fips": "3916000",
   "population": 372624,
   "health_index": 71.9,
   "band": "high",
   "top_drivers": "loneliness (98); utility shutoff risk (97); short sleep (96)"
  },
  {
   "rank": 55,
   "city": "Urban Honolulu",
   "state": "HI",
   "fips": "1571550",
   "population": 350964,
   "health_index": 33.8,
   "band": "low",
   "top_drivers": "short sleep (99); lacks emotional support (94); uninsured (93)"
  },
  {
   "rank": 56,
   "city": "Anaheim",
   "state": "CA",
   "fips": "0602000",
   "population": 346824,
   "health_index": 42.2,
   "band": "elevated",
   "top_drivers": "lacks emotional support (94); no colon screening (94); no annual checkup (93)"
  },
  {
   "rank": 57,
   "city": "Lexington-Fayette",
   "state": "KY",
   "fips": "2146027",
   "population": 322570,
   "health_index": 54.2,
   "band": "elevated",
   "top_drivers": "short sleep (69); no mammography (62); teeth lost (55)"
  },
  {
   "rank": 58,
   "city": "Stockton",
   "state": "CA",
   "fips": "0675000",
   "population": 320804,
   "health_index": 50.6,
   "band": "elevated",
   "top_drivers": "no colon screening (95); lacks emotional support (94); no annual checkup (93)"
  },
  {
   "rank": 59,
   "city": "Corpus Christi",
   "state": "TX",
   "fips": "4817000",
   "population": 317863,
   "health_index": 49.7,
   "band": "elevated",
   "top_drivers": "no colon screening (89); vision disability (85); no dental visit (84)"
  },
  {
   "rank": 60,
   "city": "Henderson",
   "state": "NV",
   "fips": "3231900",
   "population": 317610,
   "health_index": 41.4,
   "band": "elevated",
   "top_drivers": "BP-med non-adherence (83); physical inactivity (76); no annual checkup (75)"
  },
  {
   "rank": 61,
   "city": "Riverside",
   "state": "CA",
   "fips": "0662000",
   "population": 314998,
   "health_index": 45.9,
   "band": "elevated",
   "top_drivers": "BP-med non-adherence (97); no annual checkup (94); loneliness (92)"
  },
  {
   "rank": 62,
   "city": "Newark",
   "state": "NJ",
   "fips": "3451000",
   "population": 311549,
   "health_index": 58.2,
   "band": "elevated",
   "top_drivers": "housing insecurity (98); short sleep (98); food insecurity (97)"
  },
  {
   "rank": 63,
   "city": "St. Paul",
   "state": "MN",
   "fips": "2758000",
   "population": 311527,
   "health_index": 39.6,
   "band": "low",
   "top_drivers": "loneliness (95); no cholesterol screening (91); BP-med non-adherence (89)"
  },
  {
   "rank": 64,
   "city": "Santa Ana",
   "state": "CA",
   "fips": "0669000",
   "population": 310227,
   "health_index": 46.5,
   "band": "elevated",
   "top_drivers": "no colon screening (97); lacks emotional support (97); no annual checkup (97)"
  },
  {
   "rank": 65,
   "city": "Cincinnati",
   "state": "OH",
   "fips": "3915000",
   "population": 309317,
   "health_index": 54.2,
   "band": "elevated",
   "top_drivers": "asthma (91); utility shutoff risk (91); short sleep (88)"
  },
  {
   "rank": 66,
   "city": "Irvine",
   "state": "CA",
   "fips": "0636770",
   "population": 307670,
   "health_index": 22.8,
   "band": "low",
   "top_drivers": "BP-med non-adherence (95); uninsured (94); physical inactivity (90)"
  },
  {
   "rank": 67,
   "city": "Orlando",
   "state": "FL",
   "fips": "1253000",
   "population": 307573,
   "health_index": 31.9,
   "band": "low",
   "top_drivers": "short sleep (91); BP-med non-adherence (88); no colon screening (77)"
  },
  {
   "rank": 68,
   "city": "Pittsburgh",
   "state": "PA",
   "fips": "4261000",
   "population": 302971,
   "health_index": 48.7,
   "band": "elevated",
   "top_drivers": "teeth lost (64); short sleep (62); no dental visit (55)"
  },
  {
   "rank": 69,
   "city": "St. Louis",
   "state": "MO",
   "fips": "2965000",
   "population": 301578,
   "health_index": 56,
   "band": "elevated",
   "top_drivers": "utility shutoff risk (93); housing insecurity (89); lacks transport (88)"
  },
  {
   "rank": 70,
   "city": "Greensboro",
   "state": "NC",
   "fips": "3728000",
   "population": 299035,
   "health_index": 49,
   "band": "elevated",
   "top_drivers": "lacks transport (85); utility shutoff risk (85); housing insecurity (85)"
  },
  {
   "rank": 71,
   "city": "Jersey City",
   "state": "NJ",
   "fips": "3436000",
   "population": 292449,
   "health_index": 29.4,
   "band": "low",
   "top_drivers": "BP-med non-adherence (94); no colon screening (91); short sleep (83)"
  },
  {
   "rank": 72,
   "city": "Anchorage",
   "state": "AK",
   "fips": "0203000",
   "population": 291247,
   "health_index": 37.9,
   "band": "low",
   "top_drivers": "BP-med non-adherence (97); no cholesterol screening (94); no annual checkup (93)"
  },
  {
   "rank": 73,
   "city": "Lincoln",
   "state": "NE",
   "fips": "3128000",
   "population": 291082,
   "health_index": 28.8,
   "band": "low",
   "top_drivers": "binge drinking (96); no cholesterol screening (92); physical inactivity (81)"
  },
  {
   "rank": 74,
   "city": "Plano",
   "state": "TX",
   "fips": "4858016",
   "population": 285494,
   "health_index": 19.3,
   "band": "low",
   "top_drivers": "physical inactivity (85); no annual checkup (73); BP-med non-adherence (71)"
  },
  {
   "rank": 75,
   "city": "Durham",
   "state": "NC",
   "fips": "3719000",
   "population": 283506,
   "health_index": 34.8,
   "band": "low",
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   "rank": 495,
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   "band": "elevated",
   "top_drivers": "depression (91); BP-med non-adherence (87); housing insecurity (78)"
  }
 ]
}