Your environment affects your health. Breathing polluted air can lead to sickness and premature death. Your social environment matters too – some locations promote healthy living, providing ample green space for physical recreation and walkable neighborhoods for healthy everyday living. Further, recent research has shown that social health is contagious – you’re more likely to live a healthy lifestyle if your neighbors do too. So where you live really does affect your health.

To measure the cities with the healthiest environments in the United States, we compared HealthyEnviron scores for US cities with populations greater than 150,000 (173 cities in total). A location’s HealthyEnviron score captures how both air quality (physical environment) and social environment affect human health on a 0-to-100 scale. 0 is bad and 100 is good.

Air quality was measured as an evenly-weighted index of PM2.5, PM10, Ozone, Nitric Oxide, Nitrogen Dioxide, Sulfur Dioxide and Carbon Monoxide (we got our air quality data from the EPA Air Data database). Social environment was measured as an evenly-weighted index of Asthma, Smoking, Fitness and Obesity (we got this data from the CDC National Environmental Public Health Tracking Network).

Users interested in learning more and comparing HealthyEnviron scores within their city, looking at scores for individual neighborhoods or specific addresses, can visit the HealthyEnviron web-app.


Healthiest Overall Cities in 2017

  1. Cape Coral, Florida
  2. Cary, North Carolina
  3. Honolulu, Hawaii
  4. Frisco, Texas
  5. Plano, Texas
  6. Raleigh, North Carolina
  7. Knoxville, Tennessee
  8. McKinney, Texas
  9. Santa Rosa, California
  10. Pembroke Pines, Florida

Best Air Quality in 2017

  1. Tallahassee, Florida
  2. Cape Coral, Florida
  3. Knoxville, Tennessee
  4. Newport News, Virginia
  5. St. Petersburg, Florida
  6. Honolulu, Hawaii
  7. Virginia Beach, Virginia
  8. Lubbock, Texas
  9. Chesapeake, Virginia
  10. Des Moines, Iowa

Best Social Environment in 2017

  1. Sunnyvale, California
  2. Cary, North Carolina
  3. Fremont, California
  4. San Jose, California
  5. Frisco, Texas
  6. San Francisco, California
  7. Lakewood, Colorado
  8. Irvine, California
  9. Hayward, California
  10. Alexandria, Virginia

Full Results:

Overall RankCityPopulationTotal ScoreAir Quality RankSocial Environment Rank
1Cape Coral, FL179,80496252
2Cary, NC162,32096212
3Honolulu, HI351,79295617
4Frisco, TX163,65693435
5Plano, TX286,057904422
6Raleigh, NC458,880902516
7Knoxville, TN186,239893115
9McKinney, TX172,298894221
8Santa Rosa, CA175,155892340
10Pembroke Pines, FL168,587893220
11Austin, TX947,890881726
12Virginia Beach, VA452,60288780
13Omaha, NE446,970874934
14St. Petersburg, FL260,99986591
15Portland, OR639,863863138
16Sunnyvale, CA152,77185731
17Eugene, OR166,575836646
18Madison, WI252,551836535
19Sioux Falls, SD174,360832758
20Durham, NC263,016823050
21Fremont, CA233,13681793
22Lubbock, TX252,50680887
23Port St. Lucie, FL185,132802869
24Chesapeake, VA237,940809105
25San Jose, CA1,025,35079804
26Tallahassee, FL190,894791111
27Newport News, VA181,825784125
28Lincoln, NE280,364784656
29Fayetteville, NC204,759771598
30Anchorage, AK298,192777049
31San Francisco, CA870,88776836
32Nashville, TN660,3887511122
33Hayward, CA158,93775849
34Elk Grove, CA169,743748218
35Tampa, FL377,165742485
36Des Moines, IA215,4727410116
37Fort Worth, TX854,113743695
38Vancouver, WA174,826735066
39Oakland, CA420,005727819
40Winston-Salem, NC242,2037220108
41Garland, TX234,943724583
42Greensboro, NC287,027702694
43Overland Park, KS188,966709131
44Grand Prairie, TX190,6826922117
45Amarillo, TX199,5826912106
46Seattle, WA704,352679325
47Boston, MA673,184675579
48Norfolk, VA245,1156713131
49Boise City, ID223,1546610429
50Springfield, MO167,3196516127
51Salinas, CA157,218653881
52Arlington, TX392,7726429120
53Miami, FL453,579643590
54San Diego, CA1,406,630649815
55Alexandria, VA155,8106310810
57Hollywood, FL151,998634776
56Lexington, KY318,4496333129
58Orlando, FL277,1736337103
59St. Paul, MN302,398635875
60Pasadena, TX153,351626772
62Salem, OR167,419626471
61Minneapolis, MN413,651625778
63Oxnard, CA207,906617651
64Charlotte, NC842,051607470
65Clarksville, TN150,2876019143
66Hialeah, FL236,3875839104
67Chattanooga, TN177,5715818145
68San Antonio, TX1,492,510586296
69Chula Vista, CA267,172568944
70Oceanside, CA175,4645611323
71Irving, TX238,2895556113
72Corpus Christi, TX325,7335448118
74Irvine, CA266,122531308
73Dallas, TX1,317,9295340128
75Escondido, CA151,6135312130
76Reno, NV245,2555110755
77Mobile, AL192,9045114156
78Tucson, AZ530,706516992
79Fort Lauderdale, FL178,752507586
80Fort Wayne, IN264,4885034149
81Wichita, KS389,9025052132
83Fort Collins, CO164,2074913212
82Colorado Springs, CO465,1014911928
84Sacramento, CA495,234499467
85Washington, DC681,1704811064
86Huntsville, AL193,079479099
87Oklahoma City, OK638,3674763138
88Albuquerque, NM559,2774610273
89Richmond, VA223,1704659135
90Santa Clarita, CA181,9724413627
91Spokane, WA215,9734411593
92Huntington Beach, CA200,6524214211
93Bakersfield, CA376,3804110177
94Little Rock, AR198,5414172136
95Lakewood, CO154,393391607
96Kansas City, MO481,42039105100
97Jacksonville, FL880,6193887121
98Worcester, MA184,5083868130
99Tulsa, OK403,0903796123
100Glendale, CA200,8313714914
101Houston, TX2,303,4823711189
102Jackson, MS169,1483553160
103Corona, CA166,7853415233
104Aurora, CO361,7103416124
105Rancho Cucamonga, CA176,5343414441
106Baton Rouge, LA227,7153397133
107Denver, CO693,0603316313
108Shreveport, LA194,9203351158
109Augusta, GA197,0813354152
110Columbus, OH860,0903271150
111Laredo, TX257,1563241142
112Aurora, IL201,11032114107
113Santa Ana, CA334,2173113461
114Henderson, NV292,9693114562
115Modesto, CA212,1753088124
116Los Angeles, CA3,976,3223015836
117Anaheim, CA351,0433015437
118Tacoma, WA211,2773012497
119Stockton, CA307,07229103110
120Garden Grove, CA174,8582914642
121Gilbert town, AZ237,1332917232
122Lancaster, CA160,1062814159
123Long Beach, CA470,1302716239
124Columbus, GA197,4852792147
125Pomona, CA152,4942716443
126Ontario, CA173,2122615945
127New Orleans, LA391,4952686151
128Fresno, CA522,05325125102
129Memphis, TN652,7172561167
130Chandler, AZ247,4772417347
131Brownsville, TX183,8232477139
132Las Vegas, NV632,9122415084
133Peoria, AZ164,1732416760
134Riverside, CA324,7222414768
136Palmdale, CA157,3562315563
135Atlanta, GA472,52223120126
137Mesa, AZ484,5872217053
138Scottsdale, AZ246,6452217154
140Salt Lake City, UT193,7442216548
139Fontana, CA209,6652215165
141Tempe, AZ182,4982116857
142Glendale, AZ245,8952016674
143Kansas City, KS151,70920116146
144Montgomery, AL200,02219100157
145Chicago, IL2,704,95819126144
146Providence, RI179,21919106140
147Grand Rapids, MI196,4451995148
148Rochester, NY208,8801960172
149Yonkers, NY200,80718135112
150Phoenix, AZ1,615,0171816982
151Moreno Valley, CA205,4991814888
152Birmingham, AL212,15717139134
153Pittsburgh, PA303,62517127141
154New York, NY8,537,67316137114
155Louisville, KY616,26114112159
157Jersey City, NJ264,15214140101
156St. Louis, MO311,40414117155
158Springfield, MA154,0741481168
159Buffalo, NY256,9021485166
160Cincinnati, OH298,80013109162
161San Bernardino, CA216,23911156109
162Akron, OH197,6331199169
163El Paso, TX683,08011157119
164Toledo, OH278,50810118165
165North Las Vegas, NV238,7029153137
166Philadelphia, PA1,567,8727143154
167Milwaukee, WI595,0477122161
168Indianapolis, IN855,1646128164
169Baltimore, MD614,6645129163
170Newark, NJ281,7644138153
171Macon-Bibb County, GA152,5554123170
172Cleveland, OH385,8093133173
173Detroit, MI672,7953131171
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