Sleep is a key component of a healthy lifestyle. The Centers for Disease Control and Prevention recommends that adults get at least seven hours of sleep each night — and falling short of this target carries a number of risks. Still, nearly 90 million American adults are not getting enough sleep.
Americans who do not get enough sleep are at increased risk of making mistakes in their day-to-day lives — and mistakes at work or while driving can have serious consequences. Insufficient sleep is also linked to chronic diseases, including type 2 diabetes, heart disease, obesity, and depression.
Nationwide, 35.2% of adults report not getting enough sleep. In some parts of the country, however, adults are far more likely than average to get the recommended minimum of seven hours of sleep per night.
Using data from County Health Rankings & Roadmaps, a Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute joint program, 24/7 Wall St. identified America’s 50 least sleep deprived counties. Counties and county equivalents are ranked by the share of adults not getting enough sleep — which ranges on this list from 25.6% to 29.3%.
Most of the counties on this list are located in the Midwest — including 15 in Minnesota alone.
Research has shown that sleep duration is linked to both regulation of blood sugar as well as metabolic changes — and that adults who regularly sleep less than seven hours a night are at increased risk of diabetes and obesity. In most counties with the lowest levels of sleep deprivation, rates of both diabetes and obesity are lower than the national rates of 10.5% and 29.7%, respectively. Here is a look at what happens to your body when you don’t get enough sleep.
To improve sleep habits, the CDC recommends developing a routine of going to bed at the same time each night and waking up at the same time every day. The CDC also advises regular exercise and avoiding caffeine, large meals, and alcohol before bed time. Removing electronic devices, such as TVs and computers, from the bedroom can also help improve sleep habits. Here is a list of 19 secrets to sleep better at night.
Click here to see America’s least sleep deprived counties
Click here to read our detailed methodology
50. Redwood County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 29.3%
> Adults reporting poor or fair health: 15.0% — 530th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.8 — 325th lowest of 3,106 counties
> Adult obesity rate: 34.0% — 1,505th highest of 3,106 counties
> Adults with diabetes: 13.8% — 936th highest of 3,106 counties
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49. Montrose County, Colorado
> Adults reporting insufficient sleep (<7 hours): 29.3%
> Adults reporting poor or fair health: 17.4% — 1,062nd lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 4.3 — 906th lowest of 3,106 counties
> Adult obesity rate: 20.1% — 47th lowest of 3,106 counties
> Adults with diabetes: 8.2% — 323rd lowest of 3,106 counties
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48. Dallas County, Iowa
> Adults reporting insufficient sleep (<7 hours): 29.2%
> Adults reporting poor or fair health: 10.1% — 7th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.0 — 5th lowest of 3,106 counties
> Adult obesity rate: 29.6% — 761st lowest of 3,106 counties
> Adults with diabetes: 6.7% — 95th lowest of 3,106 counties
47. Dakota County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 29.2%
> Adults reporting poor or fair health: 11.3% — 30th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 127th lowest of 3,106 counties
> Adult obesity rate: 30.7% — 949th lowest of 3,106 counties
> Adults with diabetes: 7.9% — 265th lowest of 3,106 counties
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46. Dodge County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 29.2%
> Adults reporting poor or fair health: 12.2% — 79th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 117th lowest of 3,106 counties
> Adult obesity rate: 41.2% — 262nd highest of 3,106 counties
> Adults with diabetes: 9.9% — 865th lowest of 3,106 counties
45. Pennington County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 29.2%
> Adults reporting poor or fair health: 14.8% — 479th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.6 — 176th lowest of 3,106 counties
> Adult obesity rate: 29.1% — 674th lowest of 3,106 counties
> Adults with diabetes: 9.6% — 749th lowest of 3,106 counties
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44. Stanton County, Nebraska
> Adults reporting insufficient sleep (<7 hours): 29.2%
> Adults reporting poor or fair health: 13.7% — 258th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 134th lowest of 3,106 counties
> Adult obesity rate: 33.6% — 1,518th lowest of 3,106 counties
> Adults with diabetes: 8.6% — 462nd lowest of 3,106 counties
43. Meeker County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 29.2%
> Adults reporting poor or fair health: 13.9% — 298th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.7 — 271st lowest of 3,106 counties
> Adult obesity rate: 36.5% — 982nd highest of 3,106 counties
> Adults with diabetes: 10.7% — 1,146th lowest of 3,106 counties
42. Lac qui Parle County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 29.2%
> Adults reporting poor or fair health: 13.9% — 296th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.6 — 203rd lowest of 3,106 counties
> Adult obesity rate: 36.8% — 915th highest of 3,106 counties
> Adults with diabetes: 13.9% — 919th highest of 3,106 counties
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41. Sully County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 29.2%
> Adults reporting poor or fair health: 11.8% — 57th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.0 — 6th lowest of 3,106 counties
> Adult obesity rate: 27.4% — 465th lowest of 3,106 counties
> Adults with diabetes: 12.9% — 1,231st highest of 3,106 counties
40. Whatcom County, Washington
> Adults reporting insufficient sleep (<7 hours): 29.2%
> Adults reporting poor or fair health: 15.0% — 523rd lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 4.5 — 1,198th lowest of 3,106 counties
> Adult obesity rate: 28.0% — 521st lowest of 3,106 counties (tied)
> Adults with diabetes: 7.9% — 263rd lowest of 3,106 counties
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39. Cook County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 29.1%
> Adults reporting poor or fair health: 12.5% — 105th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 99th lowest of 3,106 counties
> Adult obesity rate: 25.2% — 266th lowest of 3,106 counties
> Adults with diabetes: 10.8% — 1,189th lowest of 3,106 counties
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38. Cavalier County, North Dakota
> Adults reporting insufficient sleep (<7 hours): 29.1%
> Adults reporting poor or fair health: 13.8% — 280th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 135th lowest of 3,106 counties
> Adult obesity rate: 31.7% — 1,125th lowest of 3,106 counties
> Adults with diabetes: 13.4% — 1,068th highest of 3,106 counties
37. San Juan County, Washington
> Adults reporting insufficient sleep (<7 hours): 29.1%
> Adults reporting poor or fair health: 13.0% — 157th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.8 — 379th lowest of 3,106 counties
> Adult obesity rate: 20.1% — 46th lowest of 3,106 counties
> Adults with diabetes: 6.1% — 53rd lowest of 3,106 counties
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36. Perkins County, Nebraska
> Adults reporting insufficient sleep (<7 hours): 29.1%
> Adults reporting poor or fair health: 12.4% — 96th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 90th lowest of 3,106 counties
> Adult obesity rate: 23.4% — 145th lowest of 3,106 counties
> Adults with diabetes: 9.2% — 625th lowest of 3,106 counties
35. Otter Tail County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 29.0%
> Adults reporting poor or fair health: 13.4% — 209th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.3 — 61st lowest of 3,106 counties
> Adult obesity rate: 32.2% — 1,232nd lowest of 3,106 counties
> Adults with diabetes: 11.1% — 1,281st lowest of 3,106 counties
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34. Hutchinson County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 29.0%
> Adults reporting poor or fair health: 13.6% — 238th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.3 — 57th lowest of 3,106 counties
> Adult obesity rate: 33.9% — 1,550th highest of 3,106 counties
> Adults with diabetes: 11.2% — 1,317th lowest of 3,106 counties (tied)
33. Sioux County, Iowa
> Adults reporting insufficient sleep (<7 hours): 29.0%
> Adults reporting poor or fair health: 12.3% — 86th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.2 — 41st lowest of 3,106 counties
> Adult obesity rate: 28.4% — 579th lowest of 3,106 counties
> Adults with diabetes: 8.8% — 520th lowest of 3,106 counties
32. Stevens County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 29.0%
> Adults reporting poor or fair health: 14.0% — 327th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.8 — 319th lowest of 3,106 counties
> Adult obesity rate: 30.3% — 890th lowest of 3,106 counties
> Adults with diabetes: 9.2% — 628th lowest of 3,106 counties
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31. Blue Earth County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 29.0%
> Adults reporting poor or fair health: 14.8% — 496th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.9 — 394th lowest of 3,106 counties
> Adult obesity rate: 34.0% — 1,518th highest of 3,106 counties
> Adults with diabetes: 8.1% — 310th lowest of 3,106 counties
30. Gilpin County, Colorado
> Adults reporting insufficient sleep (<7 hours): 28.9%
> Adults reporting poor or fair health: 10.7% — 11th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 106th lowest of 3,106 counties
> Adult obesity rate: 21.6% — 81st lowest of 3,106 counties
> Adults with diabetes: 5.7% — 33rd lowest of 3,106 counties
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29. Washington County, Vermont
> Adults reporting insufficient sleep (<7 hours): 28.8%
> Adults reporting poor or fair health: 12.4% — 92nd lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 4.4 — 1,030th lowest of 3,106 counties
> Adult obesity rate: 22.2% — 100th lowest of 3,106 counties
> Adults with diabetes: 7.9% — 269th lowest of 3,106 counties
28. Potter County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 28.8%
> Adults reporting poor or fair health: 12.5% — 104th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.1 — 23rd lowest of 3,106 counties
> Adult obesity rate: 30.5% — 922nd lowest of 3,106 counties
> Adults with diabetes: 9.8% — 829th lowest of 3,106 counties
27. Union County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 28.7%
> Adults reporting poor or fair health: 11.7% — 48th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.0 — 3rd lowest of 3,106 counties
> Adult obesity rate: 33.8% — 1,553rd lowest of 3,106 counties
> Adults with diabetes: 8.9% — 555th lowest of 3,106 counties
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26. Campbell County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 28.7%
> Adults reporting poor or fair health: 12.2% — 76th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.1 — 12th lowest of 3,106 counties
> Adult obesity rate: 28.2% — 532nd lowest of 3,106 counties
> Adults with diabetes: 8.0% — 281st lowest of 3,106 counties (tied)
25. Olmsted County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 28.7%
> Adults reporting poor or fair health: 11.4% — 37th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.2 — 25th lowest of 3,106 counties
> Adult obesity rate: 27.1% — 434th lowest of 3,106 counties
> Adults with diabetes: 7.9% — 268th lowest of 3,106 counties
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24. Hanson County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 28.6%
> Adults reporting poor or fair health: 11.9% — 60th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.0 — 11th lowest of 3,106 counties
> Adult obesity rate: 25.1% — 254th lowest of 3,106 counties
> Adults with diabetes: 5.9% — 48th lowest of 3,106 counties
23. Santa Fe County, New Mexico
> Adults reporting insufficient sleep (<7 hours): 28.6%
> Adults reporting poor or fair health: 17.8% — 1,144th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 4.5 — 1,152nd lowest of 3,106 counties
> Adult obesity rate: 16.1% — 11th lowest of 3,106 counties
> Adults with diabetes: 6.1% — 55th lowest of 3,106 counties
22. Marin County, California
> Adults reporting insufficient sleep (<7 hours): 28.6%
> Adults reporting poor or fair health: 11.8% — 55th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.6 — 175th lowest of 3,106 counties
> Adult obesity rate: 17.6% — 20th lowest of 3,106 counties
> Adults with diabetes: 8.2% — 331st lowest of 3,106 counties
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21. Douglas County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 28.6%
> Adults reporting poor or fair health: 13.1% — 171st lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 121st lowest of 3,106 counties
> Adult obesity rate: 34.0% — 1,517th highest of 3,106 counties
> Adults with diabetes: 9.8% — 825th lowest of 3,106 counties
20. Broomfield County, Colorado
> Adults reporting insufficient sleep (<7 hours): 28.5%
> Adults reporting poor or fair health: 10.0% — 6th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.2 — 39th lowest of 3,106 counties
> Adult obesity rate: 19.5% — 36th lowest of 3,106 counties
> Adults with diabetes: 6.9% — 107th lowest of 3,106 counties
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19. Gallatin County, Montana
> Adults reporting insufficient sleep (<7 hours): 28.4%
> Adults reporting poor or fair health: 11.3% — 31st lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.9 — 425th lowest of 3,106 counties
> Adult obesity rate: 19.1% — 34th lowest of 3,106 counties
> Adults with diabetes: 5.1% — 15th lowest of 3,106 counties
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18. San Miguel County, Colorado
> Adults reporting insufficient sleep (<7 hours): 28.2%
> Adults reporting poor or fair health: 11.0% — 18th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.4 — 72nd lowest of 3,106 counties
> Adult obesity rate: 16.2% — 13th lowest of 3,106 counties
> Adults with diabetes: 3.5% — 3rd lowest of 3,106 counties
17. York County, Nebraska
> Adults reporting insufficient sleep (<7 hours): 28.2%
> Adults reporting poor or fair health: 12.8% — 132nd lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.6 — 201st lowest of 3,106 counties
> Adult obesity rate: 39.9% — 395th highest of 3,106 counties
> Adults with diabetes: 11.7% — 1,482nd lowest of 3,106 counties
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16. Brookings County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 28.1%
> Adults reporting poor or fair health: 12.0% — 69th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.0 — 4th lowest of 3,106 counties
> Adult obesity rate: 29.9% — 792nd lowest of 3,106 counties
> Adults with diabetes: 7.5% — 192nd lowest of 3,106 counties (tied)
15. Waukesha County, Wisconsin
> Adults reporting insufficient sleep (<7 hours): 28.0%
> Adults reporting poor or fair health: 11.3% — 32nd lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 96th lowest of 3,106 counties
> Adult obesity rate: 27.1% — 437th lowest of 3,106 counties
> Adults with diabetes: 9.6% — 743rd lowest of 3,106 counties
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14. Stanley County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 28.0%
> Adults reporting poor or fair health: 10.9% — 14th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 2.9 — 2nd lowest of 3,106 counties
> Adult obesity rate: 25.9% — 332nd lowest of 3,106 counties
> Adults with diabetes: 11.7% — 1,507th lowest of 3,106 counties
13. Hubbard County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 27.8%
> Adults reporting poor or fair health: 13.9% — 288th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.6 — 195th lowest of 3,106 counties
> Adult obesity rate: 31.7% — 1,139th lowest of 3,106 counties
> Adults with diabetes: 10.6% — 1,096th lowest of 3,106 counties
12. Hennepin County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 27.7%
> Adults reporting poor or fair health: 11.4% — 39th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.6 — 208th lowest of 3,106 counties
> Adult obesity rate: 22.9% — 129th lowest of 3,106 counties
> Adults with diabetes: 6.7% — 93rd lowest of 3,106 counties
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11. Pitkin County, Colorado
> Adults reporting insufficient sleep (<7 hours): 27.6%
> Adults reporting poor or fair health: 9.8% — 4th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.2 — 30th lowest of 3,106 counties
> Adult obesity rate: 14.7% — 6th lowest of 3,106 counties
> Adults with diabetes: 3.9% — 4th lowest of 3,106 counties
10. Wright County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 27.5%
> Adults reporting poor or fair health: 11.7% — 50th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.4 — 63rd lowest of 3,106 counties
> Adult obesity rate: 32.8% — 1,340th lowest of 3,106 counties
> Adults with diabetes: 8.3% — 357th lowest of 3,106 counties
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9. Lincoln County, South Dakota
> Adults reporting insufficient sleep (<7 hours): 27.3%
> Adults reporting poor or fair health: 10.9% — 17th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 2.7 — the lowest of 3,106 counties
> Adult obesity rate: 31.3% — 1,058th lowest of 3,106 counties
> Adults with diabetes: 9.1% — 616th lowest of 3,106 counties
8. Larimer County, Colorado
> Adults reporting insufficient sleep (<7 hours): 27.2%
> Adults reporting poor or fair health: 11.2% — 29th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.9 — 397th lowest of 3,106 counties
> Adult obesity rate: 20.9% — 59th lowest of 3,106 counties
> Adults with diabetes: 5.4% — 21st lowest of 3,106 counties
7. Teton County, Wyoming
> Adults reporting insufficient sleep (<7 hours): 27.1%
> Adults reporting poor or fair health: 11.4% — 36th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.3 — 60th lowest of 3,106 counties
> Adult obesity rate: 11.0% — the lowest of 3,106 counties
> Adults with diabetes: 2.4% — the lowest of 3,106 counties
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6. Douglas County, Colorado
> Adults reporting insufficient sleep (<7 hours): 26.9%
> Adults reporting poor or fair health: 8.6% — the lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.1 — 16th lowest of 3,106 counties
> Adult obesity rate: 20.1% — 48th lowest of 3,106 counties
> Adults with diabetes: 5.6% — 28th lowest of 3,106 counties
5. Carver County, Minnesota
> Adults reporting insufficient sleep (<7 hours): 26.7%
> Adults reporting poor or fair health: 9.9% — 5th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.0 — 8th lowest of 3,106 counties
> Adult obesity rate: 26.2% — 348th lowest of 3,106 counties
> Adults with diabetes: 8.2% — 326th lowest of 3,106 counties
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4. Boulder County, Colorado
> Adults reporting insufficient sleep (<7 hours): 26.6%
> Adults reporting poor or fair health: 11.2% — 27th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.6 — 205th lowest of 3,106 counties
> Adult obesity rate: 14.3% — 4th lowest of 3,106 counties
> Adults with diabetes: 5.5% — 24th lowest of 3,106 counties
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3. Eagle County, Colorado
> Adults reporting insufficient sleep (<7 hours): 26.5%
> Adults reporting poor or fair health: 12.9% — 143rd lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 107th lowest of 3,106 counties
> Adult obesity rate: 16.1% — 12th lowest of 3,106 counties
> Adults with diabetes: 4.3% — 6th lowest of 3,106 counties
2. Los Alamos County, New Mexico
> Adults reporting insufficient sleep (<7 hours): 26.4%
> Adults reporting poor or fair health: 9.4% — 3rd lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.2 — 37th lowest of 3,106 counties
> Adult obesity rate: 23.4% — 147th lowest of 3,106 counties
> Adults with diabetes: 6.8% — 104th lowest of 3,106 counties
1. Summit County, Utah
> Adults reporting insufficient sleep (<7 hours): 25.6%
> Adults reporting poor or fair health: 10.9% — 16th lowest of 3,106 counties
> Avg. number of mentally unhealthy days reported in past month: 3.5 — 126th lowest of 3,106 counties
> Adult obesity rate: 23.4% — 5th lowest of 3,106 counties
> Adults with diabetes: 6.8% — 9th lowest of 3,106 counties
Methodology
To determine America’s least sleep deprived counties, 24/7 Wall St. reviewed the share of adults reporting fewer than seven hours of sleep on average from the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute joint program’s 2021 County Health Rankings & Roadmaps report. While the CHR report is from 2021, insufficient sleep figures published in the report are from 2018.
Of the 3,220 counties or county equivalents, 3,142 had boundaries that fell within one of the 50 states or the District of Columbia. Counties with a 2019 five-year population estimate from the U.S. Census Bureau of less than 1,000 were excluded.
The remaining 3,106 places were ranked based on the share of adults reporting insufficient sleep. Additional information on the share of adults reporting poor or fair health, the average number of mentally unhealthy days reported in the past 30 days, adults 20 years and older who report a body mass index of 30 kg/m2 or higher (adult obesity rate), and the share of adults 20 years and older with diagnosed diabetes are also from the 2021 CHR.
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