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At Risk: The Geography of America’s Senior Population

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U.S. Senior Population by State, Covid-19

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At Risk: The U.S. Senior Population

The U.S. now has the largest number of confirmed COVID-19 cases globally, and modelling predicts that the country could see about 100,000 to 200,000 total deaths. Unfortunately, adults aged 65 or older—about 16% of the U.S. population—are at much higher risk of both severe illness and death.

Today’s chart uses U.S. Census Bureau data to map the percentage of the population that is 65 years or older by state. It also outlines the urban areas that are most heavily skewed towards this older age group.

Proportion of Seniors by State

Below is the full breakdown of the U.S. senior population by state, using the latest available data from 2018.

Maine tops the list with 20.6% of its population comprising adults age 65 or older. At the other end of the scale, Utah’s seniors make up only 11.1% of its population.

RankState65+, % of Population65+, Total Population
1Maine20.6%276,069
2Florida20.5%4,358,784
3West Virginia20.0%361,216
4Vermont19.8%123,875
5Montana18.8%200,239
6Delaware18.7%180,756
7Hawaii18.4%261,467
8Pensylvannia18.2%2,332,369
9New Hampshire18.1%245,156
10South Carolina17.7%899,754
11Oregon17.6%739,611
12Arizona17.6%1,259,103
13New Mexico17.6%368,480
14Rhode Island17.3%182,645
15Conneticut17.2%613,147
16Michigan17.2%1,720,453
17Ohio17.1%1,996,163
18Iowa17.0%537,818
19Wisconsin17.0%986,483
20Alabama17.0%829,663
21Missouri16.9%1,035,074
22Arkansas16.8%507,676
23Wyoming16.7%96,557
24South Dakota16.6%146,358
25Massachusetts16.5%1,137,541
26Kentucky16.4%731,392
27New York16.4%3,212,065
28Tennesse16.3%1,104,797
29North Carolina16.3%1,688,574
30New Jersey16.1%1,438,289
31Idaho15.9%279,441
32Kansas15.9%462,191
34Mississipi15.9%474,423
33Minnesota15.8%888,634
36Nebraska15.8%303,998
35Indiana15.7%1,051,146
37Nevada15.7%475,120
38Oklahoma15.7%619,601
39Illinois15.6%1,990,548
40Louisiana15.5%720,610
42Virginia15.5%1,318,225
41Maryland15.4%931,041
43Washington15.4%1,163,987
44North Dakota15.3%116,433
45California14.3%5,667,337
46Colorado14.2%807,855
47Georgia13.8%1,456,428
48Texas12.5%3,599,599
49Alaska11.9%88,000
50Utah11.1%351,297

Notably, Florida has the second highest percentage and number of seniors nationwide. Its governor just announced the state’s stay-at-home order on April 1st, after taking criticism for refusing to do so earlier.

New York, the current global hot spot of COVID-19, is close to the national average with 16.4% of its population aged 65 or older. However, with over 3.2 million seniors, the sheer volume of individuals needing hospitalization has already put a strain on the state’s healthcare system. Governor Andrew Cuomo says the state will run out of its current supply of ventilators in less than a week.

The Most Vulnerable Urban Areas

On a local level, which places have the highest proportion of seniors? Based on all urban areas* with a population of 250,000 or more, here’s how the top 50 looks:

RankUrban Area65+, % of Population65+, Total Population
1Bonita Springs, FL38.2%135,286
2Sarasota–Bradenton, FL33.2%242,613
3Barnstable Town, MA29.4%74,614
4Palm Coast–Daytona Beach–Port Orange, FL28.3%110,355
5Myrtle Beach–Socastee, SC–NC27.3%74,783
6Cape Coral, FL27.0%175,483
7Indio–Cathedral City, CA26.0%95,054
8Port St. Lucie, FL25.6%110,883
9Palm Bay–Melbourne, FL22.9%114,347
10Youngstown, OH–PA21.0%78,739
11Asheville, NC20.9%65,540
12Pittsburgh, PA19.6%335,546
13Canton, OH19.6%54,214
14Scranton, PA19.1%71,876
15Mission Viejo–Lake Forest–San Clemente, CA19.0%115,891
16Tampa–St. Petersburg, FL18.9%516,269
17Tucson, AZ18.8%165,399
18Lancaster, PA18.5%77,538
19Cleveland, OH18.4%324,707
20Miami, FL18.3%1,117,926
21Buffalo, NY18.1%168,121
22Dayton, OH18.0%130,722
23Harrisburg, PA18.0%83,201
24Wilmington, NC17.8%45,457
25Urban Honolulu, HI17.7%148,045
26Akron, OH17.6%99,010
27New Haven, CT17.6%97,888
28Rochester, NY17.5%125,516
29Peoria, IL17.5%44,722
30Allentown, PA–NJ17.4%119,508
31Concord, CA17.4%115,460
32Chattanooga, TN–GA17.4%69,098
33Flint, MI17.2%59,525
34Santa Rosa, CA17.1%55,094
35Lakeland, FL17.1%51,107
36Davenport, IA–IL17.1%48,387
37Providence, RI–MA17.0%204,148
38Rockford, IL16.9%48,370
39Springfield, MA–CT16.8%105,694
40Knoxville, TN16.8%101,332
41Albany–Schenectady, NY16.8%100,756
42Albuquerque, NM16.7%126,081
43Hartford, CT16.6%153,367
44Toledo, OH–MI16.6%82,480
45Pensacola, FL–AL16.6%62,216
46Bridgeport–Stamford, CT–NY16.5%156,035
47Syracuse, NY16.4%66,818
48Detroit, MI16.2%608,427
49St. Louis, MO–IL16.2%347,537
50Trenton, NJ16.2%47,803

*Urban areas consist of a downtown core and adjacent territories

With 6 areas in the top 10, Florida is quite vulnerable at the local level as well. Other states with multiple areas on the list include Ohio, Pennsylvania, and New York.

The Senior Population of Current U.S. Hotspots

To determine the vulnerability of current COVID-19 hotspots, we compared U.S. counties with a high number of cases per capita against their percentage of seniors.

Counties at the bottom left have low readings on both metrics. Conversely, counties in the top right have a dangerous combination: a high concentration of cases and vulnerable seniors.

senior population vs covid-19 outbreak

Multiple counties in New York occupy the top right quadrant, with Yonkers being the worst off. Los Angeles county, which has a similar population to all counties in New York City, has fewer cases and a smaller proportion of seniors.

To date, outbreaks have been mostly focused in urban areas where populations tend to be younger. However, as COVID-19 begins infiltrating rural areas, healthcare systems will need to contend with both older age groups and fewer resources.

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