New Rankings Show Healthiest and Least Healthy Counties in Oregon

Report Explores the Impact of Severe Housing Cost Burden on Residents

Princeton, N.J. and Madison, Wis., March 19, 2019—Washington County ranks healthiest in Oregon and Klamath County is the least healthy county in the state, according to the annual County Health Rankings, released today by the Robert Wood Johnson Foundation (RWJF) and the University of Wisconsin Population Health Institute (UWPHI). The Rankings are available at

An easy-to-use snapshot that compares counties within states, the Rankings show that where you live influences how well and how long you live. Housing is part of the foundation for living long and well. High housing costs can force some families to live in unsafe or overcrowded housing or even into homelessness. This year’s Rankings State Reports show stark differences across and within counties in the opportunity to afford a home, especially for those with low incomes and people of color. This year’s analyses show that a lack of opportunity for a safe, secure, and affordable home is tied to poor health. 
The Rankings State Reports call attention to key drivers in health such as severe housing cost burden and its connection to other factors like children in poverty. Among Oregon’s children living in poverty, 51 percent were living in a household that spends more than half of its income on housing. High housing costs make it difficult for families to afford other essentials that contribute to good health, such as healthy food, medicine, or transportation to work or school. Looking at differences by place and race offers a more complete picture of health. In Oregon, 17 percent of households spend more than half of their income on housing costs but when we look by race—even deeper differences emerge with households headed by Black residents most burdened by severe housing costs at 34 percent compared to White resident households at 15 percent. County by county, severe housing cost burden ranges from 8 percent to 20 percent of households.

“The County Health Rankings demonstrate that where we live, work, play, learn and age matters to our health,” said Katrina Hedberg, MD, MPH, state health officer and epidemiologist at the Oregon Health Authority Public Health Division. “This report is more confirmation that we have a lot of work to do to ensure everyone in Oregon has a chance to achieve optimal health, and that social factors such as housing, income, and education make health inconsistent across our state.”

According to the 2019 Rankings, the five healthiest counties in Oregon, starting with the most healthy, are Washington County, followed by Benton County, Hood River County, Clackamas County, and Deschutes County. The five counties in the poorest health, starting with the least healthy, are Klamath County, Jefferson County, Josephine County, Malheur County, and Lincoln County.
“Our homes are inextricably tied to our health,” said Richard Besser, MD, RWJF president and CEO. “It’s unacceptable that so many individuals and families face barriers to health because of what they have to spend on housing. This leaves them with fewer dollars to keep their families healthy. Imagine the stress and pain that come with unplanned moves. We are all healthier and stronger together when everyone has access to safe and affordable housing, regardless of the color of their skin or how much money they make.”

In addition to the county-level data, the Rankings also features What Works for Health, a database of more than 400 evidence-informed strategies to support local changemakers as they take steps toward expanding opportunities. Each strategy is rated for its evidence of effectiveness and likely impact on health disparities. The Take Action Center also provides valuable guidance for communities who want to move with data to action.

“All communities have the potential to be places where everyone enjoys full and equal opportunity. But the data show that’s not happening in most communities yet. Children of color face a greater likelihood of growing up in poverty, and low-income families struggle to pay rent and get enough to eat,” said Sheri Johnson, PhD, acting director of County Health Rankings & Roadmaps. “It is time to do the difficult work of coming together to undo policies and practices that create barriers to opportunity. The Rankings can help communities ground these important conversations in data, evidence, guidance, and stories about challenges and success.”

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