Health in Kentucky

Life expectancy, healthcare access, hospitals and insurance.

Age-adjusted death rate, all causes
929.9
2017 · CDC National Center for Health Statistics
Residents without health insurance
6.8%
2024 · Census American Community Survey 1-year estimates
Hospital jobs
92,442
2025 · BLS Current Employment Statistics
Adults with any health care coverage
91.8%
2020 · CDC BRFSS
Adults with obesity
38.8%
2025 · CDC BRFSS via Chronic Disease Indicators
Adults who currently smoke
15.2%
2025 · CDC Behavioral Risk Factor Surveillance System

Life Expectancy

Kentucky's life expectancy at birth is 74.6 years, among the lowest in the nation, weighed down by high rates of chronic disease and the opioid epidemic.

Age-adjusted death rate, all causes
929.9
2017 · CDC National Center for Health Statistics
Total deaths, all causes
48,212
2017 · CDC National Center for Health Statistics
Life expectancy
74.6 years

Age-adjusted death rate, all causes

1999–2017
929.9▼ 7%

CDC National Center for Health Statistics, leading causes of death (1999–2017), all causes, age-adjusted.

Total deaths, all causes

1999–2017
48,212▲ 23%

CDC National Center for Health Statistics, leading causes of death (1999–2017).

IndicatorKentuckyU.S.
Life expectancy (years)74.678.4

Healthcare Access

Healthcare access in Kentucky is strong in Louisville and Lexington, both major medical hubs, but limited in eastern Appalachian counties.

Residents without health insurance
6.8%
2024 · Census American Community Survey 1-year estimates
Primary care shortage areas
Widespread in eastern Appalachia

Residents without health insurance

2009–2024
6.8%

Census American Community Survey 1-year estimates, civilian noninstitutionalized population, B27010 (2020 not released).

Hospitals

Kentucky's major hospital systems are concentrated in Louisville (Norton, UofL Health) and Lexington (UK HealthCare), a nationally ranked academic medical center.

Hospital jobs
92,442
2025 · BLS Current Employment Statistics
Health care jobs (ambulatory, hospitals and nursing)
289,217
2025 · BLS Current Employment Statistics
Major medical hub
Lexington (UK HealthCare)

Hospital jobs

2001–2025
92,442▲ 44%

BLS Current Employment Statistics, NAICS 622, annual average (FRED SMU21000006562200001).

Health care jobs (ambulatory, hospitals and nursing)

1990–2025
289,217▲ 116%

BLS Current Employment Statistics, NAICS 621–623, annual average (FRED SMU21000006562000001).

Insurance Coverage

Kentucky expanded Medicaid in 2014, giving it one of the lowest uninsured rates in the South, around 6%.

Adults with any health care coverage
91.8%
2020 · CDC BRFSS

Adults with any health care coverage

2011–2020
91.8%

CDC BRFSS, adults 18+ (question discontinued after 2020).

IndicatorKentuckyU.S.
Uninsured rate (%)67.9
  • •Kentucky's early Medicaid expansion (2014) led to one of the fastest declines in uninsured rate nationally.

Obesity

Kentucky's adult obesity rate is about 39%, among the highest in the U.S.

Adults with obesity
38.8%
2025 · CDC BRFSS via Chronic Disease Indicators

Adults with obesity

2011–2025
38.8%

CDC BRFSS via Chronic Disease Indicators, adults 18+.

IndicatorKentuckyU.S.
Obesity rate (%)3932.5

Public Health Indicators

Kentucky ranks near the bottom of national health rankings, driven by high smoking rates, opioid overdoses and cardiovascular disease, especially in Appalachian counties.

Adults who currently smoke
15.2%
2025 · CDC Behavioral Risk Factor Surveillance System
Overall health ranking
Near bottom of U.S. states

Adults who currently smoke

2011–2025
15.2%

CDC Behavioral Risk Factor Surveillance System, adults 18+.