6. Kentucky

Kentucky rounds out the list as another state with troubling senior health outcomes. Though it may be more affordable than many other regions, its healthcare infrastructure hasn’t kept pace with population needs, particularly for older adults managing chronic conditions.

Older residents in Kentucky face significant barriers in accessing quality healthcare services and preventive screenings. The state also has relatively high mortality rates from preventable causes and general health indicators such as smoking and obesity are above national averages.

These combined factors make aging well in Kentucky more difficult than in states with stronger public health and clinical care systems.